NPI | 1396850251 |
---|---|
Entity Type | Organization |
Authorized Contact | GERI WEAVER Office Manager 623-362-1150 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ 200002477) |
Enumeration Date | 2006-08-20 |
Last Update Date | 2020-08-22 |