| NPI | 1588932651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA BETANCOURT Practice Coordinator 520-664-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ 5679) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2012-08-17 |