| NPI | 1063803518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS IGANIAN Dentist/Owner 623-939-5131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 6220) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |