| NPI | 1154596187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE M BUHROW Practice Administrator 602-957-0332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AZ 1939) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |