| NPI | 1922594522 |
|---|---|
| Doing Business As | GREAT SMILES |
| Entity Type | Organization |
| Authorized Contact | ERIC WENDELSCHAFER Dentist 480-606-2630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: AZ 8491) |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2018-07-06 |