NPI | 1902591969 |
---|---|
Doing Business As | PREMIER VALLEY DENTAL |
Entity Type | Organization |
Authorized Contact | MARGARET TRAN Dentist Owner 602-279-1641 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-04-06 |
Last Update Date | 2023-04-06 |