| NPI | 1124238274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT C HARRIS President 928-343-2110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 4890) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2008-07-15 |