Organization
SUPER SMILES 4 KIDS CG, PLLC
Active
Other names
Super Smiles 4 Families
Organization subpart
No
Provider details
NPI number
Authorized official
DORA PESQUEDA MEMBER (DIRECTOR OF OPERATIONS)
(520) 436-0843
Entity
Organization
Contact information
Practice address
1295 E FLORENCE BLVD STE 4, CASA GRANDE, AZ 85122-4299
(520) 436-0843
(520) 436-0105
Mailing address
1295 E FLORENCE BLVD STE 4, CASA GRANDE, AZ 85122-4299
(520) 436-0843
(520) 436-0105
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
04/03/2026
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