| NPI | 1366659088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALL E WEECH President 520-297-7752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ 1200) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |