| NPI | 1912292855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY R BRATTON President 480-860-1121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D07340) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2011-06-17 |