| NPI | 1669650313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BRIAN CURRIVAN Owner 928-763-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AZ D4106) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2008-02-05 |