| NPI | 1891883344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW D DUNN President 623-536-4939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AZ D6608) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |