| NPI | 1619197332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN TRENT DAVIS President 480-969-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AZ AZ4914) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2008-09-30 |