NPI | 1154796050 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD SCOTT CONNELL Doctor 480-839-7996 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D06107) |
Enumeration Date | 2015-12-03 |
Last Update Date | 2015-12-03 |