# SUPER SMILES 4 KIDS CG, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Super Smiles 4 Families
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144901547
- **Authorized official:** DORA PESQUEDA MEMBER (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (520) 436-0843

## Contact information

- **Practice address:** 1295 E FLORENCE BLVD STE 4, CASA GRANDE, AZ 85122-4299
- **Practice address phone:** (520) 436-0843
- **Practice address fax:** (520) 436-0105
- **Mailing address:** 1295 E FLORENCE BLVD STE 4, CASA GRANDE, AZ 85122-4299
- **Mailing address phone:** (520) 436-0843
- **Mailing address fax:** (520) 436-0105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 07/27/2023
- **Last updated:** 04/03/2026