| NPI | 1255626651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL JAMES GROB Orthodontist 520-490-7864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AZ AZ3317) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2011-06-14 |