| NPI | 1205146024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DALE RELEFORD Owner/Orthodontist 623-245-9753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AZ D6576) |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2010-10-14 |