NPI | 1316491772 |
---|---|
Doing Business As | RADIANT SMILES PHOENIX |
Entity Type | Organization |
Authorized Contact | PRABHSHARAN SANDHU Owner/Dentist 602-277-2222 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AZ 7349) |
Enumeration Date | 2016-08-15 |
Last Update Date | 2016-08-15 |