| NPI | 1144995879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN HELD Dentist 928-778-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2022-04-04 |