# SUEKKO MANAGEMENT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Country Club Smiles
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811227002
- **Authorized official:** MS. KIMBERLY A. MACK RDH (OWNER)
- **Authorized official phone:** (480) 231-7020

## Contact information

- **Practice address:** 500 W SOUTHERN AVE, SUITE 100, MESA, AZ 85210-5016
- **Practice address phone:** (480) 962-0900
- **Practice address fax:** (480) 833-3336
- **Mailing address:** 500 W SOUTHERN AVE, SUITE 100, MESA, AZ 85210-5016
- **Mailing address phone:** (480) 962-0900
- **Mailing address fax:** (480) 833-3336

## Taxonomy

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

## Other

- **Enumeration date:** 01/11/2010
- **Last updated:** 01/11/2010