Super Smiles Maricopa Pllc | |
21116 N John Wayne Pkwy Ste B7 Maricopa AZ 85139-2932 | |
(520) 568-3828 | |
(520) 568-0443 |
Full Name | Super Smiles Maricopa Pllc |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 21116 N John Wayne Pkwy Ste B7, Maricopa, Arizona |
Authorized Official Name and Position | Nikita Kuppanda (DDS/ OWNER) |
Authorized Official Contact | 5205683828 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Super Smiles Maricopa Pllc 21116 N John Wayne Pkwy Ste B7 Maricopa AZ 85139-2932 Ph: (520) 568-3828 | Super Smiles Maricopa Pllc 21116 N John Wayne Pkwy Ste B7 Maricopa AZ 85139-2932 Ph: (520) 568-3828 |
NPI Number | 1891556502 |
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Provider Enumeration Date | 01/19/2024 |
Last Update Date | 01/19/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891556502 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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