| NPI | 1174071922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILUTIN DRAKULOVIC President 623-434-9868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ 7739) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-21 |