| NPI | 1679844286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADIA FRAGOZA Credentialing Mgr 520-293-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: AZ D3413) |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |