# KAZUKI MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Great Smiles Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619091550
- **Authorized official:** MS. KIMBERLY A MACK RDH (OWNER)
- **Authorized official phone:** (480) 231-7020

## Contact information

- **Practice address:** 14800 W MOUNTAIN VIEW BLVD, SUITE 200, SURPRISE, AZ 85374-4795
- **Practice address phone:** (623) 933-5749
- **Practice address fax:** (623) 815-1220
- **Mailing address:** 3509 E ROCKY SLOPE DR, PHOENIX, AZ 85044-7094
- **Mailing address phone:** (480) 231-7020
- **Mailing address fax:** (480) 704-2272

## Taxonomy

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

## Other

- **Enumeration date:** 03/18/2007
- **Last updated:** 09/13/2016