| NPI | 1497775217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OWEN MIVHAEL WALDMAN Owner/Managing Member 480-551-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 6328) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |