| NPI | 1316022171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD Y KHALIFE President/Owner 480-833-9942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 292200000X Dental Laboratory |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |