| NPI | 1609039114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LYNN CABRET-CARLOTTI Owner/Surgeon 480-947-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AZ 30196) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AZ 5600) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |