| NPI | 1790177392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN H WILLIAMS President 480-889-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: AZ AZ 2419) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2015-02-19 |