| NPI | 1730363185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT WAYNE STAPLEY President 480-830-8946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 4551) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2007-12-20 |