| NPI | 1831588169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUZ PACHECO Human Resource 602-242-5741 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D4935) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-02-02 |