| NPI | 1841461126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON R BOOTH Owner / Partner 602-354-3944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: AZ D5542) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: AZ D5887) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2008-03-14 |