| NPI | 1306277918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASOUL SALIM Owner 602-242-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D5067) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: AZ D6876) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AZ D8403) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AZ D8369) | |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2013-12-06 |