| NPI | 1235339557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HAYNIE President 480-998-1726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D4767) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2007-07-24 |