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Organization
SMILE INNOVATIONS CORP
Active
Organization
SMILE INNOVATIONS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOYD PATUMMAS D.M.D (DENTIST/VICE PRESIDENT)
(480) 820-7777
Entity
Organization
Contact information
Practice address
6323 S RURAL RD STE 101, TEMPE, AZ 85283-2933
(480) 820-7777
(480) 820-7774
Mailing address
6323 S RURAL RD STE 101, TEMPE, AZ 85283-2933
(480) 820-7777
(480) 820-7774
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
NULL
Other
Enumeration date
04/22/2008
Last updated
08/12/2024
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