| NPI | 1922463538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY ROMERO Director Of Operations 480-732-7941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 9037) |
| Enumeration Date | 2015-12-24 |
| Last Update Date | 2015-12-24 |