| NPI | 1518366111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN TODD CHRISTENSEN Owner/Operator 480-518-5502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: AZ 5604) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |