| NPI | 1679717508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL P DONOHO President 623-977-8323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 3693) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2009-04-22 |