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 |