| NPI | 1740242635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L JONES President/Dentist 623-535-4194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 4383) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2023-07-09 |