| NPI | 1083828099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS L HOFFMAN Member 602-268-7076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 6357) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |