| Smiles By Delivery, Pllc | |
|
15508 W Bell Rd 101-525 Surprise AZ 85374-2432 | |
| (623) 584-4746 | |
| (623) 584-4750 |
| Full Name | Smiles By Delivery, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 15508 W Bell Rd, Surprise, Arizona |
| Authorized Official Name and Position | Elaine Carmella Mamola (RDH/OWNER) |
| Authorized Official Contact | 6027177757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles By Delivery, Pllc 15508 W Bell Rd 101-525 Surprise AZ 85374-2432 Ph: (623) 584-4746 | Smiles By Delivery, Pllc 15508 W Bell Rd 101-525 Surprise AZ 85374-2432 Ph: (623) 584-4746 |
| NPI Number | 1295083202 |
|---|---|
| Provider Enumeration Date | 08/22/2012 |
| Last Update Date | 08/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295083202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 124Q00000X | Dental Hygienist | H04804 (Arizona) | Secondary |
| 124Q00000X | Dental Hygienist | H05302 (Arizona) | Secondary |
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