| NPI | 1154548469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANTHONY WARREN Dentist 623-935-9376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D4840) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2011-08-05 |