| 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 | 1223P0221X Dentist Pediatric Dentistry (Licence: AZ D008035) |
| 1223P0700X Dentist Prosthodontics (Licence: AZ D008106) | |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2013-12-04 |