| NPI | 1407395189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW STRATMAN Owner 520-745-6871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ 5711) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-02-15 |