| NPI | 1033906755 |
|---|---|
| Doing Business As | PACIFIC GRINS ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | CASSIE WIETH Director Of Payor Relations 623-267-8121 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-04-24 |
| Last Update Date | 2025-10-15 |