| NPI | 1629426507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER EILEEN RICHEY Billing/Financial Manager 480-507-1993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D4682) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-06-01 |