NPI | 1457579062 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT STEPHEN KANE President 623-535-7899 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: AZ 3266) |
Enumeration Date | 2007-04-22 |
Last Update Date | 2013-10-10 |