| NPI | 1386860112 |
|---|---|
| Other Name | ULTRASMILE |
| Entity Type | Organization |
| Authorized Contact | FARID EBRAHIM Dentist 480-830-3138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 4832) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |