NPI | 1326092917 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY ANN ALBRECHT Dentist/Partner 602-993-5455 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D3360) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ D3421) |
Enumeration Date | 2006-05-19 |
Last Update Date | 2020-08-22 |