NPI | 1114116381 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICK S ANDERSON Owner/Dentist 520-298-4270 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 1974) |
Enumeration Date | 2007-10-23 |
Last Update Date | 2007-10-23 |