| NPI | 1023166360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL G ALLARD President 623-412-0310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist Oral and Maxillofacial Pathology (Licence: AZ D5314) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-09-20 |