| NPI | 1205995719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC R ENGEL Owner 480-812-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AZ D6044) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |