| NPI | 1427414341 |
|---|---|
| Doing Business As | LIFETIME SMILES |
| Entity Type | Organization |
| Authorized Contact | NEDA DELAVARI General Dentist 623-878-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ 8667) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-01-07 |