# DESERT SUN SMILES, LLC

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

## Provider details

- **NPI number:** 1417223611
- **Authorized official:** DR. LEE A BRADY DMD (MANAGING MEMBER)
- **Authorized official phone:** (480) 204-9210

## Contact information

- **Practice address:** 18301 N 79TH AVE, SUITE F164, GLENDALE, AZ 85308-8463
- **Practice address phone:** (623) 939-4777
- **Mailing address:** 18301 N 79TH AVE, SUITE F164, GLENDALE, AZ 85308-8463
- **Mailing address phone:** (623) 939-4777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7734 | AZ | Yes |

## Other

- **Enumeration date:** 04/02/2012
- **Last updated:** 04/02/2012