NPI | 1942454483 |
---|---|
Doing Business As | WEST VALLEY FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | FAWNE E PRYOR Office Manager 623-582-9622 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AZ D5002) |
Enumeration Date | 2008-11-11 |
Last Update Date | 2008-11-11 |