| NPI | 1568536084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE D. LENTZ Owner 480-838-5675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AZ 1715) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |