| NPI | 1619315132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY RAUCH Owner/Dentist 480-296-4591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 7322) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2013-06-06 |