| NPI | 1518259563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM AL-HASHIMI President 602-463-9258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: TX 25179) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2011-05-10 |