| NPI | 1154691129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALDINE ZARRILLO Manager 520-297-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ 4600) |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2012-01-09 |