NPI | 1942504022 |
---|---|
Doing Business As | SMILES ON RIGGS FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | ERIC LYNN KERBS President/Director 480-802-5655 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AZ 6458) |
Additional Taxonomies | 122300000X Dentist (Licence: AZ 6458) |
Enumeration Date | 2011-01-04 |
Last Update Date | 2011-01-04 |