| NPI | 1851780852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA DEWITT Office Administrator 602-914-4274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ F000375) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2023-05-22 |