Organization
SOUTHERN SMILES DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GHASSAN SHEIKH SROUJIEH DDS (OWNER)
(480) 530-0754
Entity
Organization
Contact information
Practice address
4731 E SOUTHERN AVE, PHOENIX, AZ 85042-4150
(480) 530-0755
Mailing address
4731 E SOUTHERN AVE, PHOENIX, AZ 85042-4150
(480) 530-0755
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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