| NPI | 1164571071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS GIACOBBI Owner 480-899-6677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 4869) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ 4976) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |