| NPI | 1699739987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA CHUN BASKIN Dentist Owner 623-551-3511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D4661) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2020-08-22 |