| NPI | 1487892477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL JOHN DUKE President 520-281-2426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 3802) |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2009-01-28 |