| NPI | 1508214172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER SPILOTRO President 623-680-9911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D5123) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ D4664) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-05-24 |