| NPI | 1851525778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN A FOLSON President 623-977-4279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ AZ2728) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2009-05-06 |