| NPI | 1225131493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM K TADANO Owner 602-864-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AZ 2020) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-08-22 |