| NPI | 1225368798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL STEPHEN CAVENDER President 480-342-8118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: AZ 6872) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |