| NPI | 1093024341 |
|---|---|
| Doing Business As | SMILE FITNESS DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS GORDON President 623-362-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 2191) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2010-10-05 |