| NPI | 1578987699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY LIEPHARDT Owner/Office Manager 623-979-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ 2583) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2014-02-10 |