Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 2457 | AZ |
NPI | 1013015478 |
---|---|
Provider Name | David Allen Curtis |
First Address | Mesa, AZ 85215 |
Second Address | Mesa, AZ 85215 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 08/07/2007 |