| NPI | 1508868209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE DOUGLAS JOHNS President 623-878-6996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: AZ 2335) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2012-04-15 |