| NPI | 1780600239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND MARTIN HUBRICH President 520-886-7575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D5190) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-08-22 |