| NPI | 1457540023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN ROY MENLOVE President 480-747-4805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AZ 6361) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2007-10-19 |