| Winning Smiles | |
|
20165 N 67th Ave Suite 103 Glendale AZ 85308-7002 | |
| (623) 931-5467 | |
| (623) 931-5469 |
| Full Name | Winning Smiles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 20165 N 67th Ave, Glendale, Arizona |
| Authorized Official Name and Position | Sonia Roman (OFFICE MANAGER) |
| Authorized Official Contact | 6239315467 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Winning Smiles 20165 N 67th Ave Suite 103 Glendale AZ 85308-7002 Ph: (623) 931-5467 | Winning Smiles 20165 N 67th Ave Suite 103 Glendale AZ 85308-7002 Ph: (623) 931-5467 |
| NPI Number | 1356516025 |
|---|---|
| Provider Enumeration Date | 04/24/2008 |
| Last Update Date | 12/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356516025 | NPI | - | NPPES |
| 416992 | Other | AZ | AHCCCS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4354 (Arizona) | Primary |
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