| NPI | 1023666328 |
|---|---|
| Doing Business As | SUPER SMILES 4 KIDS |
| Entity Type | Organization |
| Authorized Contact | STEPHEN MONTOYA Owner 480-516-1171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2019-08-29 |