| NPI | 1134691629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID R HUNTER Owner/President 623-566-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2018-12-20 |