| NPI | 1265625552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN J MONTOYA Owner 480-457-1693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ 7384) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2008-10-09 |