| NPI | 1477672509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BLANE LAWTON President 520-296-5801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ 3446) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |