| NPI | 1477708774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN DARIO TOVAR President/Owner 623-561-1470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 5928) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2008-12-01 |