NPI | 1033276068 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN A DANA Principal Officer 480-838-3050 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 1153) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2007-11-13 |