| NPI | 1760625677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL K WIRTZ Owner/President 623-544-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ 2315) |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2009-04-08 |