| NPI | 1215245584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHET L JENKINS President 480-967-5788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AZ D5252) |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2010-09-20 |