| NPI | 1639381197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN HAMMI BLUE Periodontist 602-441-4464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ D5379) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2013-09-23 |