| NPI | 1144901547 |
|---|---|
| Doing Business As | SUPER SMILES 4 FAMILIES |
| Entity Type | Organization |
| Authorized Contact | DORA PESQUEDA Director Of Operations 520-436-0843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2023-07-27 |