| NPI | 1124494745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON J WILDUNG President 480-234-9099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AZ D009244) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |