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 |