| NPI | 1518976216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KEITH SWAIN Owner Dentist 480-558-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist Dental Public Health (Licence: AZ AZ5267) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-08-22 |