| NPI | 1437584042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAROLL ANN GRAZIANO Manager 602-242-1996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AZ D7840) |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2013-09-13 |