| Power Smiles | |
|
1914 S Power Rd Suite 103 Mesa AZ 85206-4376 | |
| (480) 641-4633 | |
| (480) 641-9432 |
| Full Name | Power Smiles |
|---|---|
| Speciality | Dentist |
| Location | 1914 S Power Rd, Mesa, Arizona |
| Authorized Official Name and Position | Ryan Scott Wallin (OWNER) |
| Authorized Official Contact | 4806414633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Power Smiles 1914 S Power Rd Suite 103 Mesa AZ 85206-4376 Ph: (480) 641-4633 | Power Smiles 1914 S Power Rd Suite 103 Mesa AZ 85206-4376 Ph: (480) 641-4633 |
| NPI Number | 1578687588 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578687588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D5282 (Arizona) | Primary |
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