NPI | 1104257963 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY E HERRO Owner 602-266-1776 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: AZ D07259) |
Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: AZ D008106) |
1223P0221X Dentist, Pediatric Dentistry (Licence: AZ D008035) | |
Enumeration Date | 2013-12-04 |
Last Update Date | 2013-12-04 |