| NPI | 1134506116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DENNIS MAKLIN Dentist 520-325-6991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ D2008) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2015-04-29 |