| NPI | 1750747150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW ROPER Owner/Dentist 520-568-1551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ 07288) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |