| NPI | 1891973327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY M BROOKS Member 623-516-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ 6256) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |