| NPI | 1881140531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT A DAMERON Owner/Dentist 602-992-1384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 4800) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |