| NPI | 1609075217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLA ALEXANDRA VASQUEZ Owner/Dentist 602-296-3235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ 5864) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-07-13 |