NPI | 1376249938 |
---|---|
Doing Business As | WEST VALLEY PERIODONTICS |
Entity Type | Organization |
Authorized Contact | AZIZ BOHRA Member 623-556-1294 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics |
Enumeration Date | 2023-02-06 |
Last Update Date | 2023-02-06 |