Organization
MILL AVENUE FAMILY DENTISTRY PC
Active
Other names
Tempe Smile Design
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACY TRACY DDS (PRESIDENT CO-OWNER)
(480) 829-8200
Entity
Organization
Contact information
Practice address
1712 E GUADALUPE RD, SUITE 109, TEMPE, AZ 85283-3983
(480) 829-8200
(480) 967-5252
Mailing address
1712 E GUADALUPE RD, SUITE 109, TEMPE, AZ 85283-3983
(480) 829-8200
(480) 967-5252
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/07/2006
Last updated
04/26/2012
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