| NPI | 1093996639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RADD WILLIAM LUKAS Owner/Dentist 520-744-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 4953) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2007-11-26 |