# BIG SMILES ARIZONA PC

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

## Provider details

- **NPI number:** 1568606507
- **Authorized official:** MISS DEENA CHIRIAC (CREDENTIALING)
- **Authorized official phone:** (800) 409-2563

## Contact information

- **Practice address:** 1904 W PARKSIDE LN, SUITE 201, PHOENIX, AZ 85027-1228
- **Practice address phone:** (800) 409-2563
- **Practice address fax:** (623) 321-6268
- **Mailing address:** 1904 W PARKSIDE LN, SUITE 201, PHOENIX, AZ 85027-1228
- **Mailing address phone:** (800) 409-2563
- **Mailing address fax:** (623) 321-6268

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7705 | AZ | Yes |

## Other

- **Enumeration date:** 04/21/2009
- **Last updated:** 04/21/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1760508535 | — | CA |