Super Smiles 4 Kids Cg, Pllc

LBN: Super Smiles 4 Kids Cg, Pllc
Super Smiles 4 Kids Cg, Pllc is an health care organization with primary practice located at 1295 E Florence Blvd Ste 4 , Casa Grande AZ 85122-4299. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Super Smiles 4 Kids Cg, Pllc can be contacted via phone (520) 436-0843, or through Pesqueda, Dora via phone (520) 436-0843.

Contact Information

Primary practice address
1295 E Florence Blvd Ste 4 Casa Grande AZ 85122-4299
Phone: (520) 436-0843
Fax: (520) 436-0105
Website:
Map and Directions
Authorized official contact:
Name: Pesqueda, Dora MEMBER
Phone: (520) 436-0843

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1144901547
LBN Legal business name Super Smiles 4 Kids Cg, Pllc
DBA Doing business as
Authorized official Pesqueda, Dora MEMBER
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2023
Last updated Jul 27th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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