| NPI | 1003070392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT STEPHEN KANE President 623-535-7899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ 3266) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2008-07-15 |