| NPI | 1164761383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE AYOUB Owner/Doctor 623-536-2040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: AZ 0008582) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2013-02-07 |