| 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 |