NPI | 1801085675 |
---|---|
Entity Type | Organization |
Authorized Contact | MANUEL G. RAMIREZ President 520-459-1512 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 2383) |
Enumeration Date | 2007-10-17 |
Last Update Date | 2007-10-17 |