| NPI | 1689848277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANA ALVILLAR Office Manager 602-275-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ AZ4730) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |