| Smile Phoenix Pllc | |
|
2330 N 75th Ave Ste 112 Phoenix AZ 85035-1200 | |
| (623) 849-0477 | |
| (623) 849-6111 |
| Full Name | Smile Phoenix Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2330 N 75th Ave Ste 112, Phoenix, Arizona |
| Authorized Official Name and Position | Douglas Gordon (PRESIDENT) |
| Authorized Official Contact | 6233628200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Phoenix Pllc 2330 N 75th Ave Ste 112 Phoenix AZ 85035-1200 Ph: (623) 849-0477 | Smile Phoenix Pllc 2330 N 75th Ave Ste 112 Phoenix AZ 85035-1200 Ph: (623) 849-0477 |
| NPI Number | 1093024341 |
|---|---|
| Provider Enumeration Date | 10/05/2010 |
| Last Update Date | 10/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093024341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2191 (Arizona) | Primary |
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