Organization
SMILES OF SUN CITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA VEGA (CREDENTIALING)
(623) 444-6340
Entity
Organization
Contact information
Practice address
10147 GRAND AVE STE B-2, SUN CITY, AZ 85351-3435
(623) 933-1874
(623) 933-0636
Mailing address
10147 GRAND AVE STE B-2, SUN CITY, AZ 85351-3435
(623) 933-1874
(623) 933-0636
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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