Arizona Smiile Center Pllc | |
2540 S San Tan Village Pkwy Ste 104 Gilbert AZ 85295-0301 | |
(480) 892-5089 | |
(480) 237-9681 |
Full Name | Arizona Smiile Center Pllc |
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Speciality | Dentist |
Location | 2540 S San Tan Village Pkwy Ste 104, Gilbert, Arizona |
Authorized Official Name and Position | Samuel Bollwinkel (OWNER) |
Authorized Official Contact | 4808925089 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Arizona Smiile Center Pllc 2540 S San Tan Village Pkwy Ste 104 Gilbert AZ 85295-0301 Ph: (480) 892-5089 | Arizona Smiile Center Pllc 2540 S San Tan Village Pkwy Ste 104 Gilbert AZ 85295-0301 Ph: (480) 892-5089 |
NPI Number | 1982215182 |
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Provider Enumeration Date | 08/11/2020 |
Last Update Date | 08/11/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982215182 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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