| Peoria Dental Smiles Llc | |
|
9059 W Lake Pleasant Pkwy Ste A100 Peoria AZ 85382-8393 | |
| (623) 572-0102 | |
| Not Available |
| Full Name | Peoria Dental Smiles Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9059 W Lake Pleasant Pkwy Ste A100, Peoria, 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 |
|---|---|
| Peoria Dental Smiles Llc 34225 N 27th Dr Ste 241 Phoenix AZ 85085-6091 Ph: (623) 289-2616 | Peoria Dental Smiles Llc 9059 W Lake Pleasant Pkwy Ste A100 Peoria AZ 85382-8393 Ph: (623) 572-0102 |
| NPI Number | 1386354751 |
|---|---|
| Provider Enumeration Date | 11/28/2022 |
| Last Update Date | 11/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386354751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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