| NPI | 1982491270 |
|---|---|
| Doing Business As | DESTINATION DENTAL |
| Entity Type | Organization |
| Authorized Contact | MANOUSH FARZIN Dentist 602-510-4020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-04-22 |
| Last Update Date | 2025-04-22 |