# SMILE 24 DENTISTRY, LLC

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

## Provider details

- **NPI number:** 1669016218
- **Authorized official:** DR. MILEN VITANOV DMD (OWNER)
- **Authorized official phone:** (602) 675-0896

## Contact information

- **Practice address:** 2701 E CAMELBACK RD STE 165, PHOENIX, AZ 85016-4330
- **Practice address phone:** (602) 675-0896
- **Practice address fax:** (602) 825-1209
- **Mailing address:** 2701 E CAMELBACK RD STE 165, PHOENIX, AZ 85016-4330
- **Mailing address phone:** (602) 675-0896
- **Mailing address fax:** (602) 825-1209

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/06/2019
- **Last updated:** 11/06/2019