| NPI | 1174579080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY H DUBOIS President 520-745-8424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D3256) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2015-02-06 |