| NPI | 1033473103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH DREW GALLEMORE Owner 928-782-4708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ 4390) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2012-07-03 |