| NPI | 1962691311 |
|---|---|
| Doing Business As | DENTISTRY OF OLD TOWN SCOTTSDALE |
| Entity Type | Organization |
| Authorized Contact | BRAD BRITTAIN Owner/President 480-945-3723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ d5890) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2007-10-22 |