| NPI | 1922471143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ALLEN RICHARDSON Owner 520-296-5801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D008575) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |