| Southern Smiles Dental Pllc | |
|
4731 E Southern Ave Phoenix AZ 85042-4150 | |
| (480) 530-0755 | |
| Not Available |
| Full Name | Southern Smiles Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4731 E Southern Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Ghassan Sheikh Sroujieh (OWNER) |
| Authorized Official Contact | 4805300754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Smiles Dental Pllc 4731 E Southern Ave Phoenix AZ 85042-4150 Ph: (480) 530-0755 | Southern Smiles Dental Pllc 4731 E Southern Ave Phoenix AZ 85042-4150 Ph: (480) 530-0755 |
| NPI Number | 1043937360 |
|---|---|
| Provider Enumeration Date | 10/26/2022 |
| Last Update Date | 10/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043937360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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