NPI | 1881017630 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD E FELDHAKE President 623-931-8898 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 3593) |
Enumeration Date | 2014-01-30 |
Last Update Date | 2014-01-30 |