| NPI | 1043303589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REYNALDO PEREZ President 480-967-3493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AZ 5313, 5321) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-07-09 |