| NPI | 1770786782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS ROY WONG President 928-783-0636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 3355) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-08-22 |