| NPI | 1114194651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE DALE DITTERLINE Dentist Owner 480-661-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D4395) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |