| NPI | 1386037885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILARRY A DOUGLAS Dentist 480-855-7888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D5365) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |