| NPI | 1477063881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER A SPANGANBERG Dds/Owner 480-279-3113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery (Licence: AZ 7166) |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2017-10-11 |