| NPI | 1548284094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY LUGO Accounts Recievable Supervisor 602-870-1223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |