| NPI | 1962892091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULINE LINHART President 928-266-8388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO den.00202424) |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2015-01-27 |