| Prosmiles Orthodontics | |
|
1981 N Pebble Creek Pkwy C01 Goodyear AZ 85395-2543 | |
| (480) 432-3363 | |
| Not Available |
| Full Name | Prosmiles Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1981 N Pebble Creek Pkwy, Goodyear, Arizona |
| Authorized Official Name and Position | Jesse Robert Mcguire (OWNER) |
| Authorized Official Contact | 4804323363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prosmiles Orthodontics 3935 E Rough Rider Rd 1155 Phoenix AZ 85050-7346 Ph: (480) 432-3363 | Prosmiles Orthodontics 1981 N Pebble Creek Pkwy C01 Goodyear AZ 85395-2543 Ph: (480) 432-3363 |
| NPI Number | 1033643929 |
|---|---|
| Provider Enumeration Date | 04/18/2017 |
| Last Update Date | 04/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033643929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 8404 (Arizona) | Primary |
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