| Organization Name: | BARNEY D. STREIT, D.D.S., P.C. |
| NPI Number: | 1215195953 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BARNEY DUFFIELD STREIT (PRESIDENT) |
| Mailing Address: | 512 E Whitehouse Canyon Rd Suite 120 Green Valley |
| State: | AZ US |
| Postal Code: | 856140550 |
| Phone Number: | 5206256167 |
| Fax Number: | |
| NPI Enumeration Date: | 05/29/2008 |
| NPI Last Update Date: | 05/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 4702 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |