| NPI | 1013182567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN ENGLISH Office Manager 480-659-9499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ d7275) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |