NPI | 1073919452 |
---|---|
Entity Type | Organization |
Authorized Contact | JACK J HUH Dentist / Owner 623-939-6215 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AZ D04284) |
Enumeration Date | 2014-11-12 |
Last Update Date | 2014-11-12 |