| NPI | 1821494394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID H. HAYMORE Manager 520-297-5422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 3578) |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2014-11-11 |