| NPI | 1245419308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH LA MADRID RAMIREZ Office Administrator 520-299-4470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D5225) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |