| NPI | 1841325131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT EDWARD BENSON Owner 480-814-8115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AZ AZ4044) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |