| NPI | 1578839148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES JOHNSON Manager 480-632-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ D05410) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-03-28 |