| NPI | 1093910739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH ROGERS Owner, Dentist 480-830-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 4750) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2020-10-19 |