| NPI | 1508877051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW JAMES CAVENDISH Owner 602-482-2785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AZ 7383) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2007-10-29 |