NPI | 1245400183 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN BRIAN RESNICK Owner 480-368-2222 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AZ 5090) |
Enumeration Date | 2008-03-06 |
Last Update Date | 2008-03-06 |