# ARIZONA SMILE DESIGN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194736843
- **Authorized official:** KEVIN LEE MUELLER D.M.D. (PRESIDENT)
- **Authorized official phone:** (602) 881-8875

## Contact information

- **Practice address:** 13830 W CAMINO DEL SOL, SUITE 200, SUN CITY WEST, AZ 85375-4485
- **Practice address phone:** (623) 474-3343
- **Practice address fax:** (623) 533-3016
- **Mailing address:** 13920 W. CAMINO DEL SOL, SUITE \#1, SUN CITY WEST, AZ 85382-4639
- **Mailing address phone:** (623) 474-3343
- **Mailing address fax:** (623) 975-7063

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 10/27/2015
