Organization
SUEKKO MANAGEMENT
Active
Other names
Country Club Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY A. MACK RDH (OWNER)
(480) 231-7020
Entity
Organization
Contact information
Practice address
500 W SOUTHERN AVE, SUITE 100, MESA, AZ 85210-5016
(480) 962-0900
(480) 833-3336
Mailing address
500 W SOUTHERN AVE, SUITE 100, MESA, AZ 85210-5016
(480) 962-0900
(480) 833-3336
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
AZ
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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