| NPI | 1437392248 |
|---|---|
| Doing Business As | PROMENADE SMILES |
| Entity Type | Organization |
| Authorized Contact | DARIN S REAGAN Owner Doctor 520-426-3639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2010-10-22 |