| NPI | 1548468044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SATISH I HIREMATH Owner 520-797-9524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D4138) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2020-08-22 |