| NPI | 1013461540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA M. VIZCARRA Owner/Dentist 480-473-8920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D6556) |
| Enumeration Date | 2016-08-13 |
| Last Update Date | 2016-08-13 |