| NPI | 1033478334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUG CHANG Owner/CEO 623-536-9942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2012-05-08 |