| NPI | 1649303785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUISE NORRIS Office Manager 623-376-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: AZ 1005639) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |