# MARIPOSA DENTAL GROUP, PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Smile Arizona Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295190643
- **Authorized official:** DR. BETH VANDER SCHAAF DDS (DENTIST)
- **Authorized official phone:** (480) 994-5225

## Contact information

- **Practice address:** 7327 E THOMAS RD, SCOTTSDALE, AZ 85251-7215
- **Practice address phone:** (809) 994-5225
- **Practice address fax:** (480) 462-1898
- **Mailing address:** 7327 E THOMAS RD, SCOTTSDALE, AZ 85251-7215
- **Mailing address phone:** (809) 994-5225
- **Mailing address fax:** (480) 462-1898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D04426 | AZ | Yes |

## Other

- **Enumeration date:** 12/29/2015
- **Last updated:** 07/30/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000826545 | UNITED CONCORDIA | — |
| 01 | — | 1033258496 | NPI | — |
| 05 | — | 149775 | — | AZ |