NPI | 1245408020 |
---|---|
Doing Business As | SMILES OF AMERICA |
Entity Type | Organization |
Authorized Contact | JAIME VASQUEZ Member 480-812-2080 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization |
Enumeration Date | 2008-02-14 |
Last Update Date | 2008-02-14 |