| NPI | 1730450677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONELLA MARIE RUMARY Office Manager 623-748-1345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D6300) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AZ D4612) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-01-24 |