| NPI | 1063967651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHATOYA RODRIGUEZ Ar Specialist 520-514-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 9197) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2026-04-23 |