| NPI | 1528211174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NGUYET MINH KHA Dentist 480-772-0106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 7572) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2013-08-07 |