| NPI | 1902963291 |
|---|---|
| Other Name | DENTIST PC CORP |
| Entity Type | Organization |
| Authorized Contact | MICHAEL I LEVY Dentist Owner President 602-274-9242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ 2246 Arizona Dentist) |
| Additional Taxonomies | 122300000X Dentist (Licence: CO 00712 Colorado Denti) |
| 122300000X Dentist (Licence: MN 8098 Minnesota Denti) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2009-06-11 |