| NPI | 1245604222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAHUL KODE Owner/Dentist 602-909-7103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AZ 5479) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2015-11-13 |