| Dba Smiles On Broadway | |
|
55 E. Broadway Tempe AZ 85282 | |
| (480) 664-2244 | |
| (623) 236-9360 |
| Full Name | Dba Smiles On Broadway |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 55 E. Broadway, Tempe, Arizona |
| Authorized Official Name and Position | Taroll A Graziano (MANAGER) |
| Authorized Official Contact | 6235567789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba Smiles On Broadway 3414 W. Union Hills Dr Unit 8 Phoenix AZ 85027 Ph: (480) 664-2244 | Dba Smiles On Broadway 55 E. Broadway Tempe AZ 85282 Ph: (480) 664-2244 |
| NPI Number | 1356622435 |
|---|---|
| Provider Enumeration Date | 09/02/2011 |
| Last Update Date | 09/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356622435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D7840 (Arizona) | Secondary |
| 1223G0001X | Dentist - General Practice | D7840 (Arizona) | Primary |
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