| Arizona Smiles, P.c. | |
|
1400 N Gilbert Rd Suite Z Gilbert AZ 85234-2328 | |
| (480) 892-5089 | |
| (480) 892-4236 |
| Full Name | Arizona Smiles, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 1400 N Gilbert Rd, Gilbert, Arizona |
| Authorized Official Name and Position | Samuel Walker Bollwinkel (PRESIDENT) |
| Authorized Official Contact | 4808925089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Smiles, P.c. 1400 N Gilbert Road Suite Z Gilbert AZ 85234 Ph: (480) 892-5089 | Arizona Smiles, P.c. 1400 N Gilbert Rd Suite Z Gilbert AZ 85234-2328 Ph: (480) 892-5089 |
| NPI Number | 1902250368 |
|---|---|
| Provider Enumeration Date | 04/21/2016 |
| Last Update Date | 04/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902250368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Arizona) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Arizona) | Secondary |
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