Organization
KAZUKI MANAGEMENT LLC
Active
Other names
Great Smiles Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY A MACK RDH (OWNER)
(480) 231-7020
Entity
Organization
Contact information
Practice address
14800 W MOUNTAIN VIEW BLVD, SUITE 200, SURPRISE, AZ 85374-4795
(623) 933-5749
(623) 815-1220
Mailing address
3509 E ROCKY SLOPE DR, PHOENIX, AZ 85044-7094
(480) 231-7020
(480) 704-2272
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/18/2007
Last updated
09/13/2016
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