NPI | 1801929013 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN W HARRIS Agent And Officer Of The Company 480-807-8100 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 5687) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2010-06-29 |