| NPI | 1407987027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE L NELSON President 602-678-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 2293) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-11-20 |