| NPI | 1972798817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN ALAN PERSONS President 623-435-0553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AZ D3228) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-13 |