Organization
SMILE DOCTORS OF ARIZONA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY GOGGANS (PRESIDENT)
(719) 569-5715
Entity
Organization
Contact information
Practice address
18511 N SCOTTSDALE RD STE 204, SCOTTSDALE, AZ 85255-9694
(623) 281-2600
Mailing address
5400 LBJ FWY STE 800, DALLAS, TX 75240-1058
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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