| NPI | 1629764220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MA KRISELDA NERY SAYOC Dentist/ Board Member 520-873-8657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2026-09-10 |