| NPI | 1871013524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROWN HARRIS Surgeon 480-575-0844 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AZ D5779) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2017-06-27 |