| NPI | 1225242910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAILA BAHARLOO HISHAW Pediatric Dentist 520-544-4171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ D5679) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2014-05-02 |