| Smile Lines Dentistry | |
|
21300 N John Wayne Pkwy Ste 108 Maricopa AZ 85139-8979 | |
| (520) 494-7578 | |
| Not Available |
| Full Name | Smile Lines Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 21300 N John Wayne Pkwy, Maricopa, Arizona |
| Authorized Official Name and Position | Jared Pope (CEO) |
| Authorized Official Contact | 4803326111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Lines Dentistry 4146 Neuman Rd Saint Clair MI 48079-3234 Ph: () - | Smile Lines Dentistry 21300 N John Wayne Pkwy Ste 108 Maricopa AZ 85139-8979 Ph: (520) 494-7578 |
| NPI Number | 1134673932 |
|---|---|
| Provider Enumeration Date | 08/09/2016 |
| Last Update Date | 08/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134673932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D05625 (Arizona) | Primary |
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