| NPI | 1184746604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY JEAN RICHARDS Business Manager 480-595-5966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 3949) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |