NPI | 1972705184 |
---|---|
Doing Business As | INA DENTISTRY |
Entity Type | Organization |
Authorized Contact | JAMES WILLIAM SYMONDS Dentist Owner 520-742-1713 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AZ 3743) |
Additional Taxonomies | 122300000X Dentist (Licence: AZ 5445) |
Enumeration Date | 2007-06-01 |
Last Update Date | 2020-08-22 |