| NPI | 1033324553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY ARTHUR KOHLER President And Owner 480-893-2474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ 2797) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2015-08-19 |