| NPI | 1891248118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS P GURR Owner/President 480-353-0027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AK 1040252) |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| 126800000X Dental Assistant | |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2016-08-03 |