| NPI | 1518270248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARON CLARE General Manager 480-981-0590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ L16075880) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2010-07-22 |