| NPI | 1073980256 |
|---|---|
| Doing Business As | PREMIER SMILES ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | TYLER J COLES Owner 602-595-7075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |