| NPI | 1710061296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGG M WOODWARD Dentist President 480-726-6697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AZ 4922) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |