NPI | 1396720728 |
---|---|
Entity Type | Organization |
Authorized Contact | EARL PAUL DUFFY President Of Professional Corp. 480-832-5190 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AZ AZ2564) |
Enumeration Date | 2005-12-08 |
Last Update Date | 2020-08-22 |