| Aesthetic Smiles Of Queen Creek | |
|
22362 E. Domingo Rd. Suite 102 Queen Creek AZ 85142 | |
| (480) 652-5797 | |
| Not Available |
| Full Name | Aesthetic Smiles Of Queen Creek |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 22362 E. Domingo Rd. Suite 102, Queen Creek, Arizona |
| Authorized Official Name and Position | Cameron Weaver Blyth (DENTIST) |
| Authorized Official Contact | 4806525797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aesthetic Smiles Of Queen Creek 19106 E Mary Ann Way Queen Creek AZ 85142-9911 Ph: () - | Aesthetic Smiles Of Queen Creek 22362 E. Domingo Rd. Suite 102 Queen Creek AZ 85142 Ph: (480) 652-5797 |
| NPI Number | 1013793785 |
|---|---|
| Provider Enumeration Date | 09/07/2023 |
| Last Update Date | 09/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013793785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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