Organization
TYLER COLES
Active
Organization
TYLER COLES
Active
Other names
Premier Smiles Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYLER J COLES DDS (OWNER)
(602) 595-7075
Entity
Organization
Contact information
Practice address
10000 N 31ST AVE, 102 B, PHOENIX, AZ 85051-9582
(602) 595-7075
(602) 606-2417
Mailing address
10000 N 31ST AVE, 102 B, PHOENIX, AZ 85051-9582
(602) 595-7075
(602) 606-2417
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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