| NPI | 1962790626 |
|---|---|
| Doing Business As | A TOOTH DOCTOR FOR KIDS |
| Entity Type | Organization |
| Authorized Contact | MALCOLM RAY SCOTT Owner 602-956-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2011-07-15 |