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 |