| NPI | 1023576501 |
|---|---|
| Doing Business As | ISMILE DENTAL |
| Entity Type | Organization |
| Authorized Contact | ERIC JOHNSON Owner 602-697-0934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-04 |