| Little Smiles Of Surprise | |
|
13915 N Dysart Rd Ste A1 El Mirage AZ 85335 | |
| (623) 444-6340 | |
| (623) 444-6350 |
| Full Name | Little Smiles Of Surprise |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13915 N Dysart Rd, El Mirage, Arizona |
| Authorized Official Name and Position | Lauret Schreier (DENTIST) |
| Authorized Official Contact | 6234446340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Smiles Of Surprise 13915 N Dysart Rd Ste A1 El Mirage AZ 85335 Ph: (623) 444-6340 | Little Smiles Of Surprise 13915 N Dysart Rd Ste A1 El Mirage AZ 85335 Ph: (623) 444-6340 |
| NPI Number | 1134181332 |
|---|---|
| Provider Enumeration Date | 04/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134181332 | NPI | - | NPPES |
| 000870541001 | Other | UNITED CONCORDIA | |
| 611922 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D5287 (Arizona) | Primary |
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Little Smiles Of Surprise Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13915 N Dysart Rd Ste A1, El Mirage, AZ 85335 Phone: 623-444-6340 Fax: 623-444-6350 | |
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