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 |