| NPI | 1699928523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL PETER DOMINICK President/Manager 480-821-8284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 5248) |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2008-10-23 |