| NPI | 1164895306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAROLL ANN GRAZIANO Insurance COO Rdinator 623-582-9622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AZ D008962) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |