| NPI | 1932608353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J GROB Owner/Orthodontist 480-490-7848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AZ DO3317) |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2018-02-12 |