| NPI | 1457785289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY KENNETH FREYDBERG Dentist 480-948-4445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: AZ D06637) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-08-28 |