| NPI | 1801008248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEL SHAYEGAN President 602-955-1780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 4772) |
| Enumeration Date | 2007-05-06 |
| Last Update Date | 2020-08-22 |