| NPI | 1992819858 |
|---|---|
| Doing Business As | PIMC DENTAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | DEANNA J. DICK (CEO) Chief Executive Officer 602-263-1567 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223D0001X Dentist Dental Public Health |
| 1223E0200X Dentist Endodontics | |
| 1223G0001X Dentist General Practice | |
| 1223P0221X Dentist Pediatric Dentistry | |
| 1223P0300X Dentist Periodontics | |
| 1223P0700X Dentist Prosthodontics | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery | |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics | |
| 124Q00000X Dental Hygienist | |
| 126800000X Dental Assistant | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2019-06-18 |