| NPI | 1821275793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA MONGINI Owner/Manager 928-634-8610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: AZ 6845) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2008-01-23 |