NPI | 1710001797 |
---|---|
Doing Business As | MICHAEL KILLEBREW |
Entity Type | Organization |
Authorized Contact | MICHAEL J KILLEBREW President 520-401-4191 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ 2339) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2008-03-04 |