| NPI | 1992862643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHARAT K PATEL Owner Dentist 623-434-9868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ 5363) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: AZ 5529) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |