| NPI | 1497064851 |
|---|---|
| Doing Business As | LAVEEN MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BRIAN NELSON Owner Dmd 602-237-0613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2013-12-31 |