| NPI | 1538709514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS L. GARDNER Dmd Owner 480-703-8198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-08 |