| NPI | 1982873311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILIA RUEBUSH Accounts Manager 480-814-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: AZ 31035) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-03-03 |