| NPI | 1235422122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC KERBS President 480-889-9457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2013-10-31 |