Organization
MARLEY PARK DENTAL LLC
Active
Other names
A Glowing Smile Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIN MARUSKA DMD (DENTIST/OWNER)
(623) 486-5566
Entity
Organization
Contact information
Practice address
8466 W PEORIA AVE, STE 12, PEORIA, AZ 85345-6548
(623) 486-5566
(623) 878-2871
Mailing address
8466 W PEORIA AVE, STE 12, PEORIA, AZ 85345-6548
(623) 486-5566
(623) 878-2871
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11565556
CAQH
AZ
Enumeration date
04/15/2008
Last updated
07/21/2022
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