| Big Smiles Arizona Pc | |
|
1904 W Parkside Ln Suite 201 Phoenix AZ 85027-1228 | |
| (800) 409-2563 | |
| (623) 321-6268 |
| Full Name | Big Smiles Arizona Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1904 W Parkside Ln, Phoenix, Arizona |
| Authorized Official Name and Position | Deena Chiriac (CREDENTIALING) |
| Authorized Official Contact | 8004092563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Smiles Arizona Pc 1904 W Parkside Ln Suite 201 Phoenix AZ 85027-1228 Ph: (800) 409-2563 | Big Smiles Arizona Pc 1904 W Parkside Ln Suite 201 Phoenix AZ 85027-1228 Ph: (800) 409-2563 |
| NPI Number | 1568606507 |
|---|---|
| Provider Enumeration Date | 04/21/2009 |
| Last Update Date | 04/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568606507 | NPI | - | NPPES |
| 1760508535 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7705 (Arizona) | Primary |
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