| NPI | 1851149629 |
|---|---|
| Former Legal Business Name | MAHONEY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | RISHA KHAN Dentist/Owner 480-406-0477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2024-05-08 |