| 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 |