| NPI | 1922437920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLAS BEBEAU Managing Manager 480-745-2430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AZ 8403) |
| Enumeration Date | 2013-11-11 |
| Last Update Date | 2013-11-11 |