| NPI | 1316040934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH WOODS PRICE Periodontist 602-956-1114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: AZ 3244) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-08-22 |