| NPI | 1528189248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGNIESZKA WAWERSKA Dds 623-972-1558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D6249) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2015-08-13 |