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 | 2016-02-26 |