| NPI | 1316017288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED W HAWS General Dentist 520-459-3067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D5877) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ D5931) |
| 1223G0001X Dentist, General Practice (Licence: AZ D7219) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |