| NPI | 1902081359 |
|---|---|
| Doing Business As | WEST CACTUS DENTAL |
| Entity Type | Organization |
| Authorized Contact | ERNEST NELMS JOHNSON President 602-863-9079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ 5010) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2008-01-04 |