| NPI | 1558586420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUKE CAIN President 623-935-7288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AZ D5516) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2009-04-02 |