| NPI | 1801844121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN R WILSON Owner President 480-948-6549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 1440) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-08-22 |