| NPI | 1396957783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT ROBERT HALL President 623-977-1181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 4563) |
| Enumeration Date | 2007-05-05 |
| Last Update Date | 2020-08-22 |