NPI | 1518326636 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN G FLETCHER Owner/Authorized Official 480-839-4550 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 4801) |
Enumeration Date | 2016-02-17 |
Last Update Date | 2016-02-17 |