| NPI | 1003090200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY C KLEIMAN President 623-974-4799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ 2450) |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2007-12-24 |