| NPI | 1659374197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD EUGENE FARRAN President Owner 480-893-1223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 3724) |
| Enumeration Date | 2005-05-29 |
| Last Update Date | 2020-08-22 |