| Mo Smiles Llc | |
|
19420 N 59th Ave Ste C253 Glendale AZ 85308-6897 | |
| (623) 934-9191 | |
| Not Available |
| Full Name | Mo Smiles Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 19420 N 59th Ave Ste C253, Glendale, Arizona |
| Authorized Official Name and Position | Justin Candelas (OFFICE MANAGER) |
| Authorized Official Contact | 3035824157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mo Smiles Llc 8461 Turnpike Dr Ste 203 Westminster CO 80031-4379 Ph: (720) 627-7734 | Mo Smiles Llc 19420 N 59th Ave Ste C253 Glendale AZ 85308-6897 Ph: (623) 934-9191 |
| NPI Number | 1649162819 |
|---|---|
| Provider Enumeration Date | 07/21/2025 |
| Last Update Date | 09/23/2025 |
| Certification Date | 09/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649162819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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