Creative Smiles | |
15631 N Oracle Rd Suite 187 Tucson AZ 85739-8691 | |
(520) 825-8112 | |
(520) 825-2242 |
Full Name | Creative Smiles |
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Speciality | Clinic/center - Dental |
Location | 15631 N Oracle Rd, Tucson, Arizona |
Authorized Official Name and Position | Mehran Rastegar-lari (OWNER) |
Authorized Official Contact | 5208201319 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Creative Smiles 15631 N Oracle Rd Suite 187 Tucson AZ 85739-8691 Ph: (520) 825-8112 | Creative Smiles 15631 N Oracle Rd Suite 187 Tucson AZ 85739-8691 Ph: (520) 825-8112 |
NPI Number | 1093083602 |
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Provider Enumeration Date | 12/09/2011 |
Last Update Date | 12/09/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093083602 | NPI | - | NPPES |
144939 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 6100 (Arizona) | Primary |
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