| NPI | 1194922591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE H CHO President 480-883-7730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AZ 6292) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: AZ 6726) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2020-08-22 |