Premier Smiles Orthodontics | |
10000 N 31st Ave 102 B Phoenix AZ 85051-9582 | |
(602) 595-7075 | |
(602) 606-2417 |
Full Name | Premier Smiles Orthodontics |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 10000 N 31st Ave, Phoenix, Arizona |
Authorized Official Name and Position | Tyler J Coles (OWNER) |
Authorized Official Contact | 6025957075 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Premier Smiles Orthodontics 10000 N 31st Ave 102 B Phoenix AZ 85051-9582 Ph: (602) 595-7075 | Premier Smiles Orthodontics 10000 N 31st Ave 102 B Phoenix AZ 85051-9582 Ph: (602) 595-7075 |
NPI Number | 1073980256 |
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Provider Enumeration Date | 08/24/2015 |
Last Update Date | 08/24/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073980256 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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