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 |