| NPI | 1902897580 |
|---|---|
| Other Name | DUANE L WIRTH DDS |
| Entity Type | Organization |
| Authorized Contact | DUANE L WIRTH Dentist 480-964-3124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 2827) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: AZ H0936) |
| 124Q00000X Dental Hygienist (Licence: AZ H0657) | |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2020-08-22 |