| NPI | 1013217371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIAN PULKRABEK Member/Dentist 623-848-1881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 4738) |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2010-11-02 |