Organization
SUNRISE SMILE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLGA REVILLA NOURI DMD (DENTIST)
(480) 993-3870
Entity
Organization
Contact information
Practice address
3029 N ALMA SCHOOL RD, SUITE 110, CHANDLER, AZ 85224-1464
(480) 993-3870
(480) 777-5958
Mailing address
3029 N ALMA SCHOOL RD, SUITE 110, CHANDLER, AZ 85224-1464
(480) 993-3870
(480) 777-5958
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5737
AZ
Other
Enumeration date
05/04/2007
Last updated
11/03/2011
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