| NPI | 1841704764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANIEL ARANA Consultant/Credentialing 520-841-0902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2017-11-30 |