| NPI | 1114396389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCO J CASTANO Owner 623-376-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: AZ D05887) |
| Additional Taxonomies | 122300000X Dentist (Licence: AZ D05542) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-09-17 |