| NPI | 1164607065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS G. KEYS Owner 520-825-9305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: AZ 5759) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ 2219) |
| 1223P0700X Dentist, Prosthodontics (Licence: AZ 5825) | |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-01-09 |