NPI | 1255615118 |
---|---|
Entity Type | Organization |
Authorized Contact | NEAL JONES Owner And Dr 520-732-8631 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AZ D7633) |
Enumeration Date | 2011-10-10 |
Last Update Date | 2011-10-10 |