| NPI | 1992936645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ALLEN ALVERSON President 480-998-8816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ AZ2264) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2009-07-29 |