| NPI | 1215083001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DEMARCO Owner 623-566-6478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ AZ-D3986) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |