| NPI | 1609632678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIA MARIA TERUEL CASTELLON Owner 480-945-3629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist Oral and Maxillofacial Pathology |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-02-26 |