| NPI | 1205291606 | 
|---|---|
| Doing Business As | ITALIAN SMILES | 
| Entity Type | Organization | 
| Authorized Contact | MARTIAL ISAAC LAVANT Owner 602-791-2650  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D008894)  | 
| Enumeration Date | 2015-12-30 | 
| Last Update Date | 2015-12-30 |