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Organization

SMILES OF BEAUTY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TINA DUCAS (OFFICE MANAGER)
(623) 551-6300
Entity
Organization

Contact information

Practice address
42104 N VENTURE DR, SUITE B134, ANTHEM, AZ 85086
(623) 551-6300
(623) 551-6302
Mailing address
42104 N VENTURE DR, SUITE B134, ANTHEM, AZ 85086
(623) 551-6300
(623) 551-6302

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
09/22/2006
Last updated
08/22/2020
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