| NPI | 1962052035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS WILLIAM KUERSCHNER Owner/Oral Surgeon 480-787-0701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2019-09-19 |