| NPI | 1023374287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY D. SCOTT Dentist 480-924-3446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 2884) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-04-02 |