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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