| NPI | 1295281525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY H RUIZ Regional Manager 602-418-1597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: AZ D5215) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |