| NPI | 1902920325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON LAMBERT President 602-569-4933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 1564) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ 6922) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |