| NPI | 1164718565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES K BRIMHALL Dentist/Owner 520-260-4883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 6618) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2011-06-23 |