| NPI | 1629460894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ELLIOTT BRENNAN Owning Doctor 480-227-8512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AZ D008501) |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2015-02-25 |