| NPI | 1952474223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICK NOZAR MANSOURIAN President 480-607-6646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ AZ4613) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2008-09-03 |