| NPI | 1962703496 |
|---|---|
| Doing Business As | TEMPE MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | IAN D YOUNG Owner 480-345-4017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2012-10-09 |