| NPI | 1306020235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY SCOTT ALEXANDER Owner 623-412-2439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 4098) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2007-12-27 |