GREAT SMILES DENTAL GROUP LLC

SURPRISE, AZ
NPI1881302586
Entity TypeOrganization
Authorized ContactTERA NIEDENS
Accountant
623-289-2616
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2022-11-10
Last Update Date2022-11-10
Business Address
GREAT SMILES DENTAL GROUP LLC
14800 W MOUNTAIN VIEW BLVD STE 200
SURPRISE, AZ 85374-2703
Phone number: 623-933-5749
Mailing Address
GREAT SMILES DENTAL GROUP LLC
34225 N 27TH DR STE 241
PHOENIX, AZ 85085-6091
Phone number: 623-289-2616
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