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 |