NPI | 1699021329 |
---|---|
Doing Business As | FOREVER SMILES |
Entity Type | Organization |
Authorized Contact | SHARON L CALVERT President 480-258-2823 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AZ d04075) |
Enumeration Date | 2012-07-31 |
Last Update Date | 2012-10-11 |