# MOUNTAIN SMILES GARZA PLLC

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

## Provider details

- **NPI number:** 1972397693
- **Authorized official:** ANGEL GIMENEZ (CREDENTIALING MANAG)
- **Authorized official phone:** (719) 300-5933

## Contact information

- **Practice address:** 754 S VAL VISTA DR \#106, GILBERT, AZ 85296
- **Practice address phone:** (480) 539-7979
- **Practice address fax:** (480) 539-7977
- **Mailing address:** 754 S VAL VISTA DR \#106, GILBERT, AZ 85296
- **Mailing address phone:** (480) 539-7979
- **Mailing address fax:** (480) 539-7977

## Taxonomy

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

## Other

- **Enumeration date:** 04/07/2025
- **Last updated:** 04/07/2025
