| Paradise Valley Smiles Llc | |
|
11110 N Tatum Blvd Ste H102 Phoenix AZ 85028-1607 | |
| (602) 354-7607 | |
| Not Available |
| Full Name | Paradise Valley Smiles Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11110 N Tatum Blvd Ste H102, Phoenix, 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 |
|---|---|
| Paradise Valley Smiles Llc 34225 N 27th Dr Ste 241 Phoenix AZ 85085-6091 Ph: (623) 289-2616 | Paradise Valley Smiles Llc 11110 N Tatum Blvd Ste H102 Phoenix AZ 85028-1607 Ph: (602) 354-7607 |
| NPI Number | 1982312591 |
|---|---|
| Provider Enumeration Date | 11/11/2022 |
| Last Update Date | 11/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982312591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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