| NPI | 1780040832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY TAYLOR President 520-568-5959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D4474) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-01-05 |