Marketplace Smiles | |
21001 N Tatum Blvd Ste. 80-1690 Phoenix AZ 85050-4206 | |
(480) 419-9200 | |
(480) 419-9202 |
Full Name | Marketplace Smiles |
---|---|
Speciality | Dentist - General Practice |
Location | 21001 N Tatum Blvd, Phoenix, Arizona |
Authorized Official Name and Position | Paul S Gebhart (OWNER DDS) |
Authorized Official Contact | 4804199200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Marketplace Smiles 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | Marketplace Smiles 21001 N Tatum Blvd Ste. 80-1690 Phoenix AZ 85050-4206 Ph: (480) 419-9200 |
NPI Number | 1518052216 |
---|---|
Provider Enumeration Date | 10/04/2006 |
Last Update Date | 12/31/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518052216 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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