| NPI | 1710011374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN B. DOWELL President 928-774-1219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ 3830) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |