| NPI | 1023145398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA CALHOUN Office Manager 480-998-2233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 1613) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |