NPI | 1942413836 |
---|---|
Doing Business As | REEL DENTAL - GREENWAY |
Entity Type | Organization |
Authorized Contact | FAWNE PRYOR Ar, Billing And Insurance Manager 602-944-0073 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2007-05-07 |
Last Update Date | 2020-08-22 |