| NPI | 1053753228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA LEVIN Managing Member 480-419-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AZ D6818) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2013-07-29 |