| NPI | 1669832143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS VOLCHECK Executive Director 602-353-5435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2026-06-10 |