| NPI | 1831357649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVA RIA FLORES TAMAYO President 623-703-4368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ D5502) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |