| NPI | 1861699902 |
|---|---|
| Other Name | TREASURED SMILES |
| Entity Type | Organization |
| Authorized Contact | DUANE C. CLOUSE President 520-316-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: AZ 4230) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-08-22 |