| NPI | 1346033123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN HELD Owner 928-282-7871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2025-05-26 |
| Last Update Date | 2025-06-25 |