| NPI | 1952803710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE MEREDITH Treatment Coordinator 928-472-7223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AZ D008610) |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-07 |