| NPI | 1427522788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA GOLD Manager 602-703-7275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| 124Q00000X Dental Hygienist | |
| 133N00000X Nutritionist | |
| 1744R1102X Specialist, Research Study | |
| 174H00000X Health Educator | |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | |
| 204E00000X Oral & Maxillofacial Surgery | |
| 207P00000X Emergency Medicine | |
| 207Q00000X Family Medicine | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207Y00000X Otolaryngology | |
| 2083B0002X Preventive Medicine, Obesity Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-01-18 |