# ARIZONA SMILES P.C.

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

## Provider details

- **NPI number:** 1922335652
- **Authorized official:** DR. SAMUEL BOLLWINKEL DDS (PRESIDENT)
- **Authorized official phone:** (482) 892-5089

## Contact information

- **Practice address:** 1400 N GILBERT RD STE A, GILBERT, AZ 85234-2321
- **Practice address phone:** (480) 892-5089
- **Practice address fax:** (480) 892-4236
- **Mailing address:** 1400 N GILBERT RD STE A, GILBERT, AZ 85234-2321
- **Mailing address phone:** (480) 892-5089
- **Mailing address fax:** (480) 892-4236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/17/2009
- **Last updated:** 11/17/2009
