| NPI | 1487860607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISHNAN R BALA President 623-977-6402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ az2627) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2011-03-09 |