| NPI | 1356555320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UTTAM B. PRAJAPATI Owner Dentist 602-266-9659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 2628) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |