NPI | 1841256104 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDSEY SMITH Office Manager 602-790-2444 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AZ D5414) |
Additional Taxonomies | 122300000X Dentist (Licence: AZ D5562) |
Enumeration Date | 2006-04-25 |
Last Update Date | 2020-08-22 |