| NPI | 1548596059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RAY TEMPLETON Owner/ Dentist 480-941-8011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ 3769) |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2011-08-22 |