| NPI | 1255400974 |
|---|---|
| Former Legal Business Name | SOUTHERN DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | OMAR F SARDER President 602-268-8808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ 3305) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |