| NPI | 1609915255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER SWINNEY Office Manager 520-885-9977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2024-01-18 |