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 |