| Laveen Smiles Pllc | |
|
7205 S 51st Ave Ste 104 Laveen AZ 85339-7399 | |
| (602) 603-5446 | |
| Not Available |
| Full Name | Laveen Smiles Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7205 S 51st Ave Ste 104, Laveen, Arizona |
| Authorized Official Name and Position | Mark Tyndal Evans (DOCTOR) |
| Authorized Official Contact | 6026035446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laveen Smiles Pllc 7205 S 51st Ave Ste 104 Laveen AZ 85339-7399 Ph: (602) 603-5446 | Laveen Smiles Pllc 7205 S 51st Ave Ste 104 Laveen AZ 85339-7399 Ph: (602) 603-5446 |
| NPI Number | 1225687825 |
|---|---|
| Provider Enumeration Date | 09/06/2019 |
| Last Update Date | 01/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225687825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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