| NPI | 1982809844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT A LEE Owner 623-547-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 5869) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ 6772) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2020-08-22 |