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Organization

SOUTHWESTERN SMILE DESIGN, LLC

Active
Other names
Mountain View Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MITCHELL WARD ELLINGSON D.D.S. (OWNER/DENTIST)
(623) 377-6185
Entity
Organization

Contact information

Practice address
18775 N REEMS RD, C-300, SURPRISE, AZ 85374-8647
(623) 584-3965
(623) 584-0130
Mailing address
18775 N REEMS RD, C-300, SURPRISE, AZ 85374-8647
(623) 584-3965
(623) 584-0130

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D7229
AZ

Other

Enumeration date
12/16/2008
Last updated
12/16/2008
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