| NPI | 1548347420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C MAI President 623-932-9202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ D6050) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 44932) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |