| NPI | 1902290786 |
|---|---|
| Other Name | CHILDREN DENTAL SPECIALIST |
| Entity Type | Organization |
| Authorized Contact | CHARLENA MOSES Dental Assistant 480-443-9080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 126800000X Dental Assistant |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-03-19 |