| NPI | 1609314038 | 
|---|---|
| Doing Business As | PONTIKAS PERIODONTICS AND IMPLANTS | 
| Entity Type | Organization | 
| Authorized Contact | ARISTIDIS PONTIKAS Owner 623-934-1676  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ 7450)  | 
| Enumeration Date | 2017-02-06 | 
| Last Update Date | 2017-02-06 |