| NPI | 1912459462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABAH KALAMCHI Owner 480-945-2310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: AZ D04070) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |