| NPI | 1619377512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF RYAN SPILLERS Partner 520-889-3358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D008640) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-08-27 |