| NPI | 1205106739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY DEAN ADAMS Statuatory Agent 480-833-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ AZ2059) |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2011-12-30 |