| NPI | 1093083602 |
|---|---|
| Doing Business As | CREATIVE SMILES |
| Entity Type | Organization |
| Authorized Contact | MEHRAN RASTEGAR-LARI Owner 520-820-1319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ 6100) |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2011-12-09 |