# LITTLE SMILES OF SURPRISE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134181332
- **Authorized official:** DR. LAURET SCHREIER DDS (DENTIST)
- **Authorized official phone:** (623) 444-6340

## Contact information

- **Practice address:** 13915 N DYSART RD, STE A1, EL MIRAGE, AZ 85335
- **Practice address phone:** (623) 444-6340
- **Practice address fax:** (623) 444-6350
- **Mailing address:** 13915 N DYSART RD, STE A1, EL MIRAGE, AZ 85335
- **Mailing address phone:** (623) 444-6340
- **Mailing address fax:** (623) 444-6350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D5287 | AZ | Yes |

## Other

- **Enumeration date:** 04/04/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000870541001 | UNITED CONCORDIA | — |
| 05 | — | 611922 | — | AZ |