NPI | 1952617482 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER HEARNE Regional Director 520-227-0711 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 24363) |
Enumeration Date | 2010-08-21 |
Last Update Date | 2010-08-21 |