| NPI | 1073689774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY DENNIS MILTON Dentist President 928-774-0131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 3861) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2020-08-22 |