| NPI | 1215195953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARNEY DUFFIELD STREIT President 520-625-6167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ 4702) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |