| NPI | 1720156995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT FRED HANKEL President/Owner 520-836-8776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: AZ 4523) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2010-04-14 |