| NPI | 1235525155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACLYN HAENDEL Owner/Dentist 480-360-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 8032) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2015-04-07 |