| NPI | 1205270386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN ALLMENDINGER Owner 602-242-5741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NE D5273) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2013-04-19 |