| NPI | 1528317526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN DOVIGI President 623-340-2874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist Oral and Maxillofacial Pathology (Licence: CA 60085) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2012-09-05 |