| NPI | 1598152506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN REX SCHNEIDER Owner 602-996-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: AZ 7629) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2015-04-17 |