| NPI | 1396013983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES MCKENZIE Owner 480-897-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D07636) |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2011-12-09 |