| NPI | 1881413417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZFAR SIDDIQUI Owner/Provider 623-582-9622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X2210X Dentist, Orofacial Pain |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2024-10-10 |