| NPI | 1437201746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAYMAN TASVIBI-TANHA Owner 480-345-1605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 4837) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |