NPI | 1205913241 |
---|---|
Entity Type | Organization |
Authorized Contact | NATHAN WADSWORTH SMITH Owner 480-219-1384 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 6408) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2020-08-22 |