| NPI | 1417223611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE A BRADY Managing Member 480-204-9210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 7734) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-04-02 |