| NPI | 1952498339 |
|---|---|
| Doing Business As | ADVANCED FAMILY DENTISTRY AND ESTHETICS CENTER |
| Entity Type | Organization |
| Authorized Contact | PROSPER KORI BONSI President 602-433-1472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 048952) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |