| NPI | 1194824185 |
|---|---|
| Doing Business As | DENTISTRY AT GRAYHAWK |
| Entity Type | Organization |
| Authorized Contact | BAHAR F ATA-ABADI Vice President Secretary 480-244-9274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |