| NPI | 1578779971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MINIER Corporate President 520-571-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D3878) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |