| NPI | 1669661369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN K RUBISCH Owner 928-344-3067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D3139) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2007-10-18 |