| NPI | 1205016862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC WARREN LERNOR President 602-485-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ 3302) |
| Enumeration Date | 2007-11-11 |
| Last Update Date | 2007-11-11 |