NPI | 1902369994 |
---|---|
Doing Business As | MADISON PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | RISHI POPAT President 602-697-8149 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2019-04-08 |
Last Update Date | 2019-04-08 |