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Organization
AESTHETIC SMILES OF QUEEN CREEK
Active
Organization
AESTHETIC SMILES OF QUEEN CREEK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAMERON WEAVER BLYTH DMD (DENTIST)
(480) 652-5797
Entity
Organization
Contact information
Practice address
22362 E. DOMINGO RD. SUITE 102, QUEEN CREEK, AZ 85142
(480) 652-5797
Mailing address
19106 E MARY ANN WAY, QUEEN CREEK, AZ 85142-9911
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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