| NPI | 1699766410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE L HERR President 480-632-6999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D5251) |
| Enumeration Date | 2005-11-01 |
| Last Update Date | 2020-08-22 |