Organization
AESTHETIC SMILES OF QUEEN CREEK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAMERON WEAVER BLYTH DMD (DENTIST)
(480) 652-5797
Entity
Organization
Contact information
Practice address
22362 E. DOMINGO RD. SUITE 102, QUEEN CREEK, AZ 85142
(480) 652-5797
Mailing address
19106 E MARY ANN WAY, QUEEN CREEK, AZ 85142-9911
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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