| NPI | 1578636866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY P. BAIRD Dentist 520-628-4222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 8915) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |