| NPI | 1639333479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DELWYN WHEELER Dentist/Owner 520-374-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 5594) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2008-07-10 |