| NPI | 1528144052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL C. BRETZING President 480-329-5703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D2490) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2015-01-27 |