| NPI | 1902103807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHASIN M HANGALAY Dentist/Owner 602-354-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D6747) |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2011-02-11 |