| NPI | 1538374269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE THORPE Office Manager 480-539-6420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: AZ 1819) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |