| NPI | 1003007956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEE DENNIS MOSHOS President 928-453-5577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 3216) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-06 |