| NPI | 1235308834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE CLAYTON ENGLE Dentist 520-245-6328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AZ 6870) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-02-27 |