| NPI | 1235418161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDEEP VERMANI Owner/Member 623-428-9949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D06920) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2019-05-03 |