| NPI | 1750326849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROBERT HAUER Partner 520-886-6054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 1848) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2020-08-22 |