NPI | 1013086545 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRY D. BELDEN President 602-840-1217 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 5055) |
Enumeration Date | 2006-11-07 |
Last Update Date | 2020-08-22 |