| NPI | 1851475289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA LEIGH DORTON Office Manager 602-978-5365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AZ 3062) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |