| NPI | 1003224619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA M MARTINEZ Owner/Doctor 480-282-6746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ D8006) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ D008464) |
| Enumeration Date | 2014-07-27 |
| Last Update Date | 2022-11-22 |