| NPI | 1215212279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC KERBS President 480-648-4037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D6458) |
| Additional Taxonomies | 122300000X Dentist (Licence: AZ D6458) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2013-12-06 |