| NPI | 1386833382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK W WESTERVELT Owner 928-204-2062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 5317) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-16 |