| NPI | 1952741530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAI Q TRANG Dentist 480-888-9596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: AZ 6177) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2013-06-27 |