| NPI | 1275241374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN TUINEI Credentialing Assistant 602-750-6897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2022-11-08 |