Organization
GREAT BIG SMILES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BOWEN DMD, DHSC (MEMBER)
(480) 948-4200
Entity
Organization
Contact information
Practice address
7032 E COCHISE RD STE 100, SCOTTSDALE, AZ 85253-4565
(480) 948-4200
Mailing address
7032 E COCHISE RD STE 100, SCOTTSDALE, AZ 85253-4565
(480) 948-4200
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D07641
AZ
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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