| NPI | 1710922810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JOSEPH MATTHEWS President 623-972-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AZ 5258) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2020-08-22 |