| NPI | 1922101567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEWIS PAUL ROBINSON Dentist Periodontist Owner Partner 480-831-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: AZ 4475) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: AZ 5099) |
| 1223P0300X Dentist, Periodontics (Licence: AZ 1733) | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2008-04-20 |