| NPI | 1790824977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA WANG-DULVICK Associate Dentist 480-961-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ AZ225) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |