Organization
INNOVATIVE SMILE MAKERS LLC
Active
Other names
POWER SMILES DENTAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE LAUREN HERR JR. DDS (MANAGING MEMBER)
(480) 580-1499
Entity
Organization
Contact information
Practice address
8490 S POWER RD STE 106, GILBERT, AZ 85297-8029
(480) 580-1499
(480) 580-1788
Mailing address
8490 S POWER RD STE 106, GILBERT, AZ 85297-8029
(480) 580-1499
(480) 580-1788
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
03/23/2023
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