NPI | 1861059032 |
---|---|
Doing Business As | SCOTTSDALE TRAILS DENTISTRY |
Entity Type | Organization |
Authorized Contact | MEHRAN KHANBABAPOUR Owner 480-493-3470 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2019-05-23 |
Last Update Date | 2022-04-13 |