CUSTOM SMILE LLC

MESA, AZ
NPI1710148663
Entity TypeOrganization
Authorized ContactSTAN L COVINGTON
Dentist
480-307-8430
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: AZ  4675)
Enumeration Date2008-06-23
Last Update Date2008-07-08
Business Address
CUSTOM SMILE LLC
2919 S ELLSWORTH RD SUITE 141
MESA, AZ 85212-2164
Phone number: 480-307-8430
Mailing Address
CUSTOM SMILE LLC
2919 S ELLSWORTH RD SUITE 141
MESA, AZ 85212-2164
Phone number: 480-307-8430
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