NPI | 1801923800 |
---|---|
Entity Type | Organization |
Authorized Contact | YEHIA ALY IMAM President 480-775-8056 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D3255) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2013-03-14 |