| NPI | 1255695813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER SPILOTRO Owner/President 623-680-9911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ D5123) |
| Additional Taxonomies | 122300000X Dentist (Licence: AZ D4664) |
| 1223E0200X Dentist, Endodontics (Licence: AZ D5915) | |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2012-06-28 |