| NPI | 1679778195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER MICHAEL DELLIOS Dentist 480-837-5227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 2737) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2020-08-22 |