| NPI | 1174586945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY MOHR Owner/Dentist 520-745-0126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 1909) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2020-08-22 |