| NPI | 1073728028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK K MCALISTER President 602-482-8841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AZ D-5236) |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2020-08-22 |