| NPI | 1245412287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD SCOTT CONNELL Partner 602-570-9667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 6107) |
| Enumeration Date | 2007-12-01 |
| Last Update Date | 2007-12-01 |