| NPI | 1942501390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWNIE L KILDOO President 520-625-0130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 5331) |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2010-11-16 |