NPI | 1437339587 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY D ORESKOVICH President 602-995-7279 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 3579) |
Enumeration Date | 2007-11-06 |
Last Update Date | 2007-11-06 |