| NPI | 1679632061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT O. CASELDINE President 480-898-3053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D3008) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |