| NPI | 1770927410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD ROBERTS Owner/Dentist 602-888-7844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 4964) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2016-02-19 |