NPI | 1619023694 |
---|---|
Doing Business As | DESERT CANYON DENTISTRY |
Entity Type | Organization |
Authorized Contact | ARDESHIR DABESTANI President 623-915-4800 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 5049) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ 5130) |
Enumeration Date | 2007-01-25 |
Last Update Date | 2020-08-22 |