| NPI | 1912074196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | E H TODD HELLWIG Secretary Treasurer 480-948-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-08-22 |