| NPI | 1407280241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ANGELES FUENTES Owner 602-841-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ D6064) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-08-28 |