| NPI | 1619021490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHASHI M. KAPUR Owner 623-344-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ D3801) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |