| NPI | 1396018610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL BAO QUANG LE Corporate Officer 602-268-0006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 7208) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2012-02-17 |