| NPI | 1265734701 |
|---|---|
| Other Name | QUEEN CREEK |
| Entity Type | Organization |
| Authorized Contact | STEVEN L FROST Owner 480-988-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: AZ d4318) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |