| NPI | 1760595839 |
|---|---|
| Doing Business As | SMILE MAKERS DENTAL CARE OF OCTILLO |
| Entity Type | Organization |
| Authorized Contact | JAMES BOURNE Doctor 480-895-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-22 |