| NPI | 1912497504 |
|---|---|
| Doing Business As | GOODYEAR MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | RAKESH D PEMA Owner 623-207-7838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2018-05-18 |