| NPI | 1790083566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER CARL BIEDE Dentist 520-797-1240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 1936) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-09-14 |