| NPI | 1598162232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY WRIGHT Owner 602-284-5163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2014-11-25 |