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 |