| NPI | 1689359796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANNE MARJORIE LYNCH Owner 480-384-0571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2023-11-27 |