| NPI | 1952776858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WASSEF Owner Member 480-348-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ D05171) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2015-12-03 |