75th Avenue Dentistry, Inc Valid NPI

Organization · Dentist · Peoria, AZ

NPI

1538284971

Type

Organization (Type 2)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

D6772 (AZ)

Enumerated

2007-03-21

Last updated

2009-03-18