| NPI | 1720267875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN R SHIELDS Doctor 928-782-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 2351) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |