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 |