| NPI | 1710481098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY SUE MCKINNEY Office Manager 480-218-7590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ 7751) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-21 |