| NPI | 1740361559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN J HARKINS Dentist/Owner 520-298-6909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AZ D2775) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2012-10-04 |