| NPI | 1942505565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LONNIE ECKMAN Owner/Doctor 480-279-0079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D7856) |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2018-05-17 |