NPI | 1598118713 |
---|---|
Entity Type | Organization |
Authorized Contact | WALTER VILLANUEVA Owner And Dentist 480-398-1372 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ D07782) |
Enumeration Date | 2016-07-22 |
Last Update Date | 2016-07-22 |