| NPI | 1285112292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTOPHER ROBERT ALPERS Owner 480-208-3332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ 8976) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-08-01 |