| NPI | 1225554157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN KALIKA Owner/Dentist 480-834-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ D06367) |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2017-08-22 |