NPI | 1730378571 |
---|---|
Entity Type | Organization |
Authorized Contact | MARSHALL DAVID CLAYTON Dentist Owner 480-585-3065 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ 2724) |
Enumeration Date | 2007-10-17 |
Last Update Date | 2007-10-17 |