| NPI | 1538590484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN BAKER Dentist / Owner 623-907-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: AZ D008809) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2013-12-03 |