| NPI | 1336275833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A. PRICE Sealant Program Manager 602-542-1891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |