| NPI | 1326232943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA JEANBLANC Management 480-756-6522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ 7364) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-08-28 |