| NPI | 1205006319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE CHANDLER Owner/ Dentist 480-949-5569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AZ 4319) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |