NPI | 1053491894 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAYLAR HATCH President 480-525-6000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 6963) |
Enumeration Date | 2006-10-16 |
Last Update Date | 2013-12-26 |