| NPI | 1487925988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW THOMAS KUNSTMAN Owner 520-458-5611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 003996) |
| Enumeration Date | 2012-01-16 |
| Last Update Date | 2012-01-16 |