| NPI | 1932274214 |
|---|---|
| Doing Business As | SALT RIVER DENTAL |
| Entity Type | Organization |
| Authorized Contact | DEANNA J. DICK (CEO) Chief Executive Officer 602-263-1567 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2019-06-19 |