# SMILE TODAY PARADISE VALLEY, LLC

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

## Provider details

- **NPI number:** 1467817106
- **Authorized official:** KYLE J HUISH DDS (OWNER)
- **Authorized official phone:** (480) 889-9457

## Contact information

- **Practice address:** 4530 E SHEA BLVD, SUITE \# 125, PHOENIX, AZ 85028-6065
- **Practice address phone:** (602) 992-4530
- **Mailing address:** 4435 E HOLMES AVE, SUITE \#200, MESA, AZ 85206-3372
- **Mailing address phone:** (480) 889-9457
- **Mailing address fax:** (480) 696-5505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 8070 | AZ | Yes |

## Other

- **Enumeration date:** 12/23/2015
- **Last updated:** 12/23/2015