| NPI | 1629131446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE A. LAWTON Front Office Manager 602-326-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ az 873) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |