| NPI | 1770747735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GIBBONS Doctor/President 480-368-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: AZ D2139) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2010-06-16 |