| NPI | 1043484553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK KALEN SAPERSTEIN President 602-249-0961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ D1661) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-07-29 |