| Lifetime Smiles | |
|
6666 W Peoria Ave Glendale AZ 85302-7014 | |
| (623) 878-6000 | |
| (623) 773-2230 |
| Full Name | Lifetime Smiles |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6666 W Peoria Ave, Glendale, Arizona |
| Authorized Official Name and Position | Neda Delavari (GENERAL DENTIST) |
| Authorized Official Contact | 6238786000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Smiles 6666 W Peoria Ave Glendale AZ 85302-7014 Ph: (623) 878-6000 | Lifetime Smiles 6666 W Peoria Ave Glendale AZ 85302-7014 Ph: (623) 878-6000 |
| NPI Number | 1427414341 |
|---|---|
| Provider Enumeration Date | 01/07/2016 |
| Last Update Date | 01/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427414341 | NPI | - | NPPES |
| 8667 | Other | AZ | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 8667 (Arizona) | Primary |
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