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Organization
SMILE DENTISTRY PLLC
Active
Organization
SMILE DENTISTRY PLLC
Active
Other names
Foothills Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY TODD COLES DMD (MEMBER)
(206) 650-0824
Entity
Organization
Contact information
Practice address
1238 E. CHANDLER BLVD. #101, PHOENIX, AZ 85048
(206) 650-0824
Mailing address
1238 E. CHANDLER BLVD. #101, PHOENIX, AZ 85048
(206) 650-0824
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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