NPI | 1134568637 |
---|---|
Entity Type | Organization |
Authorized Contact | DAN MOSHE GAFNI President 480-664-1449 |
Organization Subpart ? | No |
Primary Taxonomy | 125K00000X Advanced Practice Dental Therapist (Licence: AZ 8139) |
Enumeration Date | 2013-06-18 |
Last Update Date | 2013-06-18 |