| NPI | 1548456924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W BRANNOCK Ofice Manager 480-922-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ 4818) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-09-19 |