| NPI | 1174091342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN RICHARD YETTER Orthodontist 480-615-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2018-11-06 |