NPI | 1285721159 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH K SCHMAHL Dentist Self Employed 520-883-5848 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AZ 5381) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2020-08-22 |