| NPI | 1265572036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS EUGENE THOMAS Owner/Manager 480-585-2824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: AZ D5158) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2008-08-19 |