| NPI | 1225687825 |
|---|---|
| Doing Business As | LAVEEN SMILES |
| Entity Type | Organization |
| Authorized Contact | MARK TYNDAL EVANS Doctor 602-603-5446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2021-01-29 |