| NPI | 1912104621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAHUL GURUDAS KODE President 480-753-9063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AZ 5479) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-08-22 |