| NPI | 1295037687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GRANETO President/Owner 623-223-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D5376) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2014-02-06 |