| NPI | 1831381409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY FRANK BERNARD Owner Periodontist 480-948-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: AZ 6032) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2007-08-16 |