| NPI | 1225537111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM BUCKHANAN Insurance COO Rdinator 480-560-5183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AZ 5904) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-02-06 |