NPI | 1336527019 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT F GUYETTE Owner 480-657-7065 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AZ 4084) |
Enumeration Date | 2015-05-13 |
Last Update Date | 2015-05-13 |