NPI | 1770840951 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN J MONTOYA Owner 480-733-5437 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ 7384) |
Enumeration Date | 2012-04-12 |
Last Update Date | 2012-04-12 |