| NPI | 1699176073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY SCOTT Managing Partner 480-258-1876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: AZ D7517) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |