| NPI | 1942709183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD JOSEPH SICK Owner/Dentist 480-730-6888 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D-4420) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-02-02 |