| NPI | 1619091550 |
|---|---|
| Doing Business As | GREAT SMILES DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY A MACK Owner 480-231-7020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-03-18 |
| Last Update Date | 2016-09-13 |