| NPI | 1972045417 |
|---|---|
| Doing Business As | JUNGLE ROOTS CHILDREN'S DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MARY MADOCHE Practice Manager 480-759-1119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: AZ 4457) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |