| NPI | 1588786511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY BRAUER Co Owner 480-279-4790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ D5852) |
| Additional Taxonomies | 122300000X Dentist (Licence: AZ D5909) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |