NPI | 1144342833 |
---|---|
Doing Business As | ARIZONA SMILE DESIGNERS |
Entity Type | Organization |
Authorized Contact | STEVEN D.R. VERGARA President 928-634-8610 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 6845) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ 4299) |
Enumeration Date | 2007-04-04 |
Last Update Date | 2020-08-22 |