| NPI | 1760941553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON BARKER Office Manager 928-774-2745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-06-11 |