| NPI | 1639746100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN E TUINEI Credentialing Manager 602-750-6897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2021-06-04 |