| NPI | 1275415135 |
|---|---|
| Former Legal Business Name | DENTAL 32 |
| Entity Type | Organization |
| Authorized Contact | ANTHONY JOHN GEROULIS Member 602-561-2740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-07-22 |
| Last Update Date | 2025-07-22 |