NPI | 1508874496 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENT HARRIS MASON President 480-969-2991 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D5288) |
Enumeration Date | 2006-08-04 |
Last Update Date | 2020-08-22 |