| NPI | 1467710541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNIELLE TORRES Office Manager 928-778-7181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: AZ 2439) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2012-04-26 |