| NPI | 1447037304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA BECKER Oral And Maxillofacial Surgeon 602-831-2115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-10-03 |