# PROMENADE SMILES, LLP

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

## Provider details

- **NPI number:** 1437392248
- **Authorized official:** DR. DARIN S REAGAN DDS (OWNER DOCTOR)
- **Authorized official phone:** (520) 426-3639

## Contact information

- **Practice address:** 808 N MISSION PKWY, CASA GRANDE, AZ 85194-8412
- **Practice address phone:** (520) 426-3639
- **Practice address fax:** (520) 836-7208
- **Mailing address:** 2860 MICHELLE, 2ND FLOOR, IRVINE, CA 92606-1009
- **Mailing address phone:** (714) 368-2077
- **Mailing address fax:** (714) 368-2092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/08/2009
- **Last updated:** 10/22/2010