| Italian Smiles | |
|
18275 N 59th Ave 128 Glendale AZ 85308-1260 | |
| (602) 791-2650 | |
| Not Available |
| Full Name | Italian Smiles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 18275 N 59th Ave, Glendale, Arizona |
| Authorized Official Name and Position | Martial Isaac Lavant (OWNER) |
| Authorized Official Contact | 6027912650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Italian Smiles 18275 N 59th Ave 128 Glendale AZ 85308-1260 Ph: (602) 791-2650 | Italian Smiles 18275 N 59th Ave 128 Glendale AZ 85308-1260 Ph: (602) 791-2650 |
| NPI Number | 1205291606 |
|---|---|
| Provider Enumeration Date | 12/30/2015 |
| Last Update Date | 12/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205291606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D008894 (Arizona) | Primary |
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