# SMILES OF SUN CITY

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

## Provider details

- **NPI number:** 1306310248
- **Authorized official:** CYNTHIA VEGA (CREDENTIALING)
- **Authorized official phone:** (623) 444-6340

## Contact information

- **Practice address:** 10147 GRAND AVE STE B-2, SUN CITY, AZ 85351-3435
- **Practice address phone:** (623) 933-1874
- **Practice address fax:** (623) 933-0636
- **Mailing address:** 10147 GRAND AVE STE B-2, SUN CITY, AZ 85351-3435
- **Mailing address phone:** (623) 933-1874
- **Mailing address fax:** (623) 933-0636

## Taxonomy

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

## Other

- **Enumeration date:** 01/14/2019
- **Last updated:** 01/14/2019