| NPI | 1619375862 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JOHN ADAMS PATTERSON Dentist 480-844-5095 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ 5936) | 
| Enumeration Date | 2014-12-19 | 
| Last Update Date | 2014-12-19 |