| NPI | 1093222788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NISHANT CHAUHAN Manager 480-788-2637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |