| NPI | 1952488710 |
|---|---|
| Doing Business As | SCOTT LESUEUR AND CHARLES DODARO DDS |
| Entity Type | Organization |
| Authorized Contact | SCOTT TAYLOR LESUEUR President 480-834-6991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: AZ 3434) |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: AZ 2695) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2011-02-15 |