| NPI | 1427527332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN E TUINEI Credentialing Manager 602-750-6897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2022-11-30 |