| NPI | 1457916017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YONE PONCE Dds/Owner 520-326-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-05-08 |