| NPI | 1063684967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN DWIGHT KARREN Dentist 602-482-3929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AZ 5557) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-03-31 |