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Organization
TEMPE SMILES FAMILY DENTAL, PC
Active
Organization
TEMPE SMILES FAMILY DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY DALTON (CREDENTIALING SPECIALIST)
(623) 640-0267
Entity
Organization
Contact information
Practice address
7660 S MCCLINTOCK DR, SUITE #101, TEMPE, AZ 85284-1621
(480) 831-8022
(480) 831-8023
Mailing address
7660 S MCCLINTOCK DR STE 101, TEMPE, AZ 85284-1642
(623) 640-0267
(602) 344-9713
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
NULL
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/20/2012
Last updated
06/22/2021
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