| NPI | 1720295710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARB K MEGER Business Manager 623-931-2419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 1996) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |