| NPI | 1952761991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MARTIN FARNSWORTH Owner 480-283-5854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ D5821) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |