NPI | 1497771877 |
---|---|
Entity Type | Organization |
Authorized Contact | LORI ANN GAFFNEY President 520-745-1001 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 6796) |
Enumeration Date | 2006-07-15 |
Last Update Date | 2020-08-22 |