Organization
SMILE TODAY PARADISE VALLEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE J HUISH DDS (OWNER)
(480) 889-9457
Entity
Organization
Contact information
Practice address
4530 E SHEA BLVD, SUITE # 125, PHOENIX, AZ 85028-6065
(602) 992-4530
Mailing address
4435 E HOLMES AVE, SUITE #200, MESA, AZ 85206-3372
(480) 889-9457
(480) 696-5505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8070
AZ
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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