| NPI | 1932545456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES JOHNSON Member 520-421-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ D05410) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2013-05-13 |