| NPI | 1952522443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAI Q TRANG Owner Dentist 480-888-8053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 6177) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |