# MARICOPA SMILES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Smiley Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922575018
- **Authorized official:** TIN NGUYEN DDS (DENTIST/OWNER)
- **Authorized official phone:** (833) 793-7773

## Contact information

- **Practice address:** 20917 N JOHN WAYNE PKWY STE A105, MARICOPA, AZ 85139-2918
- **Practice address phone:** (833) 793-7773
- **Practice address fax:** (520) 442-1488
- **Mailing address:** 20917 N JOHN WAYNE PKWY STE A105, MARICOPA, AZ 85139-2918
- **Mailing address phone:** (833) 793-7773
- **Mailing address fax:** (520) 442-1488

## Taxonomy

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

## Other

- **Enumeration date:** 10/27/2018
- **Last updated:** 10/27/2018