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Organization

FABULOUS SMILES OF MESA

Active
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Organization

FABULOUS SMILES OF MESA

Active
Parent organization
FABULOUS DENTAL MANAGEMENT, LLC
Other names
Fabulous Smiles
Organization subpart
Yes

Provider details

NPI number
Legal business name
FABULOUS DENTAL MANAGEMENT, LLC
Authorized official
DR. KEVIN HYUNG CHOI DDS (MANAGER)
(480) 654-3000
Entity
Organization

Contact information

Practice address
4434 E. BROWN RD, STE 104, MESA, AZ 85205
(480) 654-3000
(480) 654-0303
Mailing address
4434 E. BROWN RD., STE 104, MESA, AZ 85205
(480) 654-3000
(480) 654-0303

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8358
AZ

Other

Enumeration date
11/30/2012
Last updated
11/30/2012
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