| NPI | 1841371663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN J HARKINS Dentist/Owner 520-323-7645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D2775) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |