| NPI | 1497122287 |
|---|---|
| Doing Business As | PHOENIX MIDTOWN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | GHASEM K DARIAN Owner/ Dentist 602-265-8566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ d04354) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |