| NPI | 1083848006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN ENGLISH Office Manager 623-547-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ 5171) |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2009-05-05 |