| NPI | 1922210632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONDA L ACCOLA Business Manager 480-218-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 5282) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2008-03-20 |