| NPI | 1316145634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY KATHLEEN HILGERS Pediatric Dentist 623-536-0079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ 6693) |
| Enumeration Date | 2007-07-08 |
| Last Update Date | 2008-05-14 |