| NPI | 1689874323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD JOSEPH SICK Dentist 480-730-6888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 4420) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2010-11-17 |