Great Smiles Dental Group Llc | |
14800 W Mountain View Blvd Ste 200 Surprise AZ 85374-2703 | |
(623) 933-5749 | |
Not Available |
Full Name | Great Smiles Dental Group Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 14800 W Mountain View Blvd Ste 200, Surprise, Arizona |
Authorized Official Name and Position | Tera Niedens (ACCOUNTANT) |
Authorized Official Contact | 6232892616 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Great Smiles Dental Group Llc 34225 N 27th Dr Ste 241 Phoenix AZ 85085-6091 Ph: (623) 289-2616 | Great Smiles Dental Group Llc 14800 W Mountain View Blvd Ste 200 Surprise AZ 85374-2703 Ph: (623) 933-5749 |
NPI Number | 1881302586 |
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Provider Enumeration Date | 11/10/2022 |
Last Update Date | 11/10/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881302586 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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