| Promenade Smiles | |
|
808 N Mission Pkwy Casa Grande AZ 85194-8412 | |
| (520) 426-3639 | |
| (520) 836-7208 |
| Full Name | Promenade Smiles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 808 N Mission Pkwy, Casa Grande, Arizona |
| Authorized Official Name and Position | Darin S Reagan (OWNER DOCTOR) |
| Authorized Official Contact | 5204263639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Promenade Smiles 2860 Michelle 2nd Floor Irvine CA 92606-1009 Ph: (714) 368-2077 | Promenade Smiles 808 N Mission Pkwy Casa Grande AZ 85194-8412 Ph: (520) 426-3639 |
| NPI Number | 1437392248 |
|---|---|
| Provider Enumeration Date | 04/08/2009 |
| Last Update Date | 10/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437392248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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