| 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 |