| NPI | 1770029365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ALLEN RODDA Dentist/Owner 928-774-4030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: D009628) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |