| NPI | 1962570630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIEN VOORHEES HARVEY Owner 520-745-5722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: AZ 3624) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |