| NPI | 1992997290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL JEFFREY GASSMANN Business Owner 480-922-9933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AZ D4868) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2007-08-10 |