# SMILES OF AMERICA-RANCHO SOLANO PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Smiles of America
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801166491
- **Authorized official:** HENRY VASQUEZ MBA. (OPERATIONS DIRECTOR)
- **Authorized official phone:** (602) 864-1119

## Contact information

- **Practice address:** 2401 W GLENDALE AVE, SUITE 102, PHOENIX, AZ 85021-7677
- **Practice address phone:** (602) 864-1119
- **Mailing address:** 2401 W GLENDALE AVE, SUITE 102, PHOENIX, AZ 85021-7677
- **Mailing address phone:** (602) 864-1119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | F000374 | AZ | Yes |

## Other

- **Enumeration date:** 01/12/2012
- **Last updated:** 01/12/2012