| NPI | 1437547775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUZ PACHECO Human Resource 602-242-5741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ D5353) |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2015-01-08 |