| NPI | 1184798100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIS I ROGERS President 480-963-5821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 1734) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |