| NPI | 1720280258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLYDE M. ROBINSON President 520-327-0263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: AZ 2163) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2010-09-28 |