NPI | 1689100885 |
---|---|
Former Legal Business Name | SILVERSTONE PEDIATRIC GROUP, PLLC |
Entity Type | Organization |
Authorized Contact | UMAR M IMTIAZ Associate Provider 623-444-9999 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ 7256) |
Enumeration Date | 2017-05-08 |
Last Update Date | 2021-07-20 |