| NPI | 1043600083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JEANNINE MYERS-FINEBERG Dentist/Owner 623-362-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ 4492) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |