Organization
SDCAZ LLC
Active
Parent organization
SDCAZ LLC
Other names
Cute Smiles 4 Kids
Organization subpart
Yes
Provider details
NPI number
Legal business name
SDCAZ LLC
Authorized official
CASSANDRA WIETH (DIRECTOR OF PAYOR RELATIONS)
(623) 267-8121
Entity
Organization
Contact information
Practice address
3101 W INDIAN SCHOOL RD, PHOENIX, AZ 85017-4035
(602) 861-3333
Mailing address
3101 W INDIAN SCHOOL RD, PHOENIX, AZ 85017-4035
(602) 861-3333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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