| NPI | 1306391511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM L WALDEN Dentist/Owner 480-755-1661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D4686) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |