| NPI | 1861897027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAROLL GRAZIANO Manager 602-242-1996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D7840) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2014-10-30 |