| NPI | 1245575398 |
|---|---|
| Doing Business As | FABULOUS SMILES |
| Entity Type | Organization |
| Authorized Contact | KEVIN HYUNG CHOI Manager 480-654-3000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 8358) |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2012-11-30 |