| NPI | 1568689776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ALLEN JENNINGS President 520-876-5431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ D4544) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |