| NPI | 1215363320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN DORFMAN Owner 480-563-3960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AZ D6337) |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2013-09-20 |