| NPI | 1730368309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT WILLIAM KEITH President 602-264-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D4350) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-10-30 |