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 |