| NPI | 1497271068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHASE DANIEL DAVIS Owner/Dentist 480-396-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ D008289) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2017-08-16 |