| NPI | 1124312103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISABEL MUNOZ President/Owner 480-970-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D5125) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2011-06-07 |