| NPI | 1972823888 |
|---|---|
| Doing Business As | ARIZONA'S TOOTH DOCTOR FOR KIDS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL HULL Lead Doctor 623-245-8461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ F316) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |