| NPI | 1548555683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RICKARD OSTLER Doctor/Owner 623-566-1310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 5619) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2011-06-16 |