| NPI | 1710438676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARISMA LUAT Dentist/Owner 623-937-9241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D008569) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2024-03-15 |