| NPI | 1245740182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT Z BADALOV Owner 623-432-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D05930) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |