NPI | 1104617745 |
---|---|
Doing Business As | SMILE VALLEY PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | CASSANDRA WEITH Director Of Payor Relations 623-267-8121 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2025-05-14 |
Last Update Date | 2025-05-14 |