| NPI | 1396000394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN J DORFMAN Owner 623-551-6556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AZ D6337) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2012-07-06 |