| NPI | 1962728881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEUSS KASSISIEH President 480-948-4010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AZ 4721) |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2010-04-16 |