| NPI | 1386939148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTLE WINKELMAN Manager 480-833-8064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AZ 2410) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2011-06-09 |