LASTING SMILES OF ANTHEM LLC

ANTHEM, AZ
NPI1851931828
Entity TypeOrganization
Authorized ContactDARREN L FLOWERS
Owner
623-551-8000
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2020-01-08
Last Update Date2020-01-08
Business Address
LASTING SMILES OF ANTHEM LLC
3618 W ANTHEM WAY STE D132
ANTHEM, AZ 85086-0475
Phone number: 623-551-8000
Mailing Address
LASTING SMILES OF ANTHEM LLC
3618 W ANTHEM WAY STE D132
ANTHEM, AZ 85086-0475
Phone number: 623-551-8000