| NPI | 1801273818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN T TRAN Owner/ President 480-250-2570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 5745) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2015-04-28 |