| NPI | 1588269542 |
|---|---|
| Former Legal Business Name | BEAUTIFUL SMILEZ INC |
| Entity Type | Organization |
| Authorized Contact | ELENA M ARMENDAREZ Regional 602-633-6620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2021-01-21 |