| NPI | 1710165022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUKESH SHAH President 480-899-8448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ az3348) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2008-02-08 |