| NPI | 1689756819 |
|---|---|
| Other Name | CORPORATION 5 |
| Entity Type | Organization |
| Authorized Contact | LINDA RASKANSKY Secretary 623-878-0120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |