Organization
LAVEEN SMILES PLLC
Active
Other names
Laveen Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
MARK TYNDAL EVANS DDS (DOCTOR)
(602) 603-5446
Entity
Organization
Contact information
Practice address
7205 S 51ST AVE STE 104, LAVEEN, AZ 85339-7399
(602) 603-5446
Mailing address
7205 S 51ST AVE STE 104, LAVEEN, AZ 85339-7399
(602) 603-5446
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
01/29/2021
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