Organization
SMILES OF CHANDLER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES W HEATON (MANAGER)
(614) 905-6192
Entity
Organization
Contact information
Practice address
3800 W RAY RD STE 17, CHANDLER, AZ 85226-5940
(480) 899-9484
(480) 917-4780
Mailing address
3800 W RAY RD STE 17, CHANDLER, AZ 85226-5940
(480) 899-9484
(480) 917-4780
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2730
AZ
1223G0001X
General Practice Dentistry
Primary
8303
AZ
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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