NPI | 1639677115 |
---|---|
Doing Business As | ADVANCED FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | PAYAM KIMIAEI-ASADI Dentist 520-353-3002 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ d008483) |
Enumeration Date | 2018-01-30 |
Last Update Date | 2020-02-20 |