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Organization
SOUTHWESTERN SMILE DESIGN, LLC
Active
Organization
SOUTHWESTERN SMILE DESIGN, LLC
Active
Other names
Mountain View Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL WARD ELLINGSON D.D.S. (OWNER/DENTIST)
(623) 377-6185
Entity
Organization
Contact information
Practice address
18775 N REEMS RD, C-300, SURPRISE, AZ 85374-8647
(623) 584-3965
(623) 584-0130
Mailing address
18775 N REEMS RD, C-300, SURPRISE, AZ 85374-8647
(623) 584-3965
(623) 584-0130
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D7229
AZ
Other
Enumeration date
12/16/2008
Last updated
12/16/2008
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