| NPI | 1093904245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD JAMES WOODFORD Owner Doctor Orthodontist 928-634-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AZ 5525) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2007-10-23 |