| NPI | 1417441767 |
|---|---|
| Other Name | LITTLE SMILES OF SURPRISE |
| Entity Type | Organization |
| Authorized Contact | KEITH HOLM Owner 623-251-9767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ D7138) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |