| NPI | 1871098269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JOSEPH HEIMANN President/Pediatric Dentist 602-864-1080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ 2542) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |