| NPI | 1295130292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL DEPANTE TOBIAS Sole Member 602-283-3545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 5366) |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2016-03-30 |