| NPI | 1174734511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARY C WONG President 928-782-1490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 3354) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |