| NPI | 1083042030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS INIGUEZ Owner/Dentist 602-866-0663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ D5202) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |