| NPI | 1376604017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD EMERY WILT Dentist 480-838-5422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 1590) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |