| NPI | 1811042211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARDESHIR DABESTANI President 623-915-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 5130) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ 5049) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |