| NPI | 1114748662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA FRANCIS Director Of Business Development 480-228-8428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2024-10-17 |