| NPI | 1083822324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES E. ROBERTS President 520-747-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 0048086) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |