NPI | 1912617382 |
---|---|
Doing Business As | ORO VALLEY PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | ANDREW STUCKI Owner 208-680-0186 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2022-11-28 |
Last Update Date | 2022-11-28 |