| NPI | 1063577393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH D VANDER SCHAAF President 480-994-5225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 4426) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ 4398) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |