| NPI | 1912195165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL L. GRIEGO Owner/Dentist 623-561-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 3555) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2007-10-11 |