| NPI | 1467507418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WILLIAM ANDERSON Dentist Owner 480-633-3447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 4831) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2013-01-14 |