| NPI | 1144757196 | 
|---|---|
| Doing Business As | SMILES OF ANTHEM FAMILY DENTISTRY | 
| Entity Type | Organization | 
| Authorized Contact | ISAIMA KAYAT Manager 602-317-3890 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental | 
| Enumeration Date | 2017-05-20 | 
| Last Update Date | 2017-05-20 |