| NPI | 1356407779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK H. LAMB Owner / Oral & Maxillofacial Surgeo 480-941-5005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: AZ 2202) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2012-12-04 |