NPI | 1871600072 |
---|---|
Doing Business As | KYRENE FAMILY DENTRISTRY |
Entity Type | Organization |
Authorized Contact | RASOUL SALIM President 480-705-9005 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2006-08-24 |
Last Update Date | 2020-08-22 |