| NPI | 1619150638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN Q. HANSEN President 623-937-9241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 2085) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2007-12-12 |