| NPI | 1376755769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES R. WILLCOX President 602-978-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AZ 3346) |
| Enumeration Date | 2007-05-06 |
| Last Update Date | 2020-08-22 |