| NPI | 1114361193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN COCHELL Office Manager 480-539-7323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AZ 4550) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-04-22 |