| NPI | 1871623983 |
|---|---|
| Other Name | HEALTH SERVICES DIVISION |
| Entity Type | Organization |
| Authorized Contact | ANGELA GOMEZ Executive Director 520-879-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ D2306) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |