# LAVEEN SMILES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Laveen Smiles
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225687825
- **Authorized official:** MARK TYNDAL EVANS DDS (DOCTOR)
- **Authorized official phone:** (602) 603-5446

## Contact information

- **Practice address:** 7205 S 51ST AVE STE 104, LAVEEN, AZ 85339-7399
- **Practice address phone:** (602) 603-5446
- **Mailing address:** 7205 S 51ST AVE STE 104, LAVEEN, AZ 85339-7399
- **Mailing address phone:** (602) 603-5446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/06/2019
- **Last updated:** 01/29/2021