| NPI | 1740515691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE DOUGLAS JOHNS President 623-878-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: AZ D2335) |
| Enumeration Date | 2009-10-10 |
| Last Update Date | 2009-10-10 |