| NPI | 1083847131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN FREDRICK KAMMEYER Business/Practice Owner 520-293-4510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ AZ2513) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2009-08-24 |