| NPI | 1356687776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS PILE Co Owner 623-551-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ D07480) |
| Additional Taxonomies | 122300000X Dentist (Licence: AZ D5791) |
| 122300000X Dentist (Licence: AZ D008479) | |
| 122300000X Dentist (Licence: AZ D008262) | |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2012-12-13 |