NPI | 1992166359 |
---|---|
Doing Business As | SUN LIFE PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | TRAVIS J ROBINETTE Chief Executive Officer 520-836-3446 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ BL-16-58324) |
Enumeration Date | 2016-03-14 |
Last Update Date | 2017-08-03 |