| NPI | 1518147206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY T ENGMAN Orthodontist 480-585-4244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: AZ D6653) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2007-11-09 |