| NPI | 1427411255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY ROBERTS Dentist/Owener 480-607-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D04964) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2023-12-14 |