NPI | 1932388188 |
---|---|
Entity Type | Organization |
Authorized Contact | JEREMY PATRICK CARSON Owner/Manager 602-588-7777 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ 5467) |
Enumeration Date | 2007-10-24 |
Last Update Date | 2019-08-22 |