| NPI | 1760918965 |
|---|---|
| Former Legal Business Name | CIRCLE DENTAL, LLC |
| Entity Type | Organization |
| Authorized Contact | UMAR M IMTIAZ Associate Provider 623-444-9999 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ 7256) |
| Enumeration Date | 2017-05-08 |
| Last Update Date | 2021-07-20 |