| Smile Envy Family Dentistry, L.l.c. | |
|
10144 W Lake Pleasant Pkwy Suite 1100 Peoria AZ 85382-9716 | |
| (623) 825-3689 | |
| (623) 825-3695 |
| Full Name | Smile Envy Family Dentistry, L.l.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10144 W Lake Pleasant Pkwy, Peoria, Arizona |
| Authorized Official Name and Position | Diedra A Ivey (OFFICE MANAGER) |
| Authorized Official Contact | 6238253689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Envy Family Dentistry, L.l.c. 10144 W Lake Pleasant Pkwy Suite 1100 Peoria AZ 85382-9716 Ph: (623) 825-3689 | Smile Envy Family Dentistry, L.l.c. 10144 W Lake Pleasant Pkwy Suite 1100 Peoria AZ 85382-9716 Ph: (623) 825-3689 |
| NPI Number | 1194956532 |
|---|---|
| Provider Enumeration Date | 08/03/2009 |
| Last Update Date | 08/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194956532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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