| NPI | 1780001800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANPREET S BADYAL President 480-205-6961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ D)5722) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2014-03-26 |