| NPI | 1730554346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA NAGAO Doctor/Owner 520-721-7727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D009249) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2015-12-08 |