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 |