| NPI | 1770059123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HOFFMAN President 480-586-6540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-23 |