Organization
AWESOME SMILES DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS HEARD (OWNER)
(480) 376-9319
Entity
Organization
Contact information
Practice address
2139 E TIFFANY CT, GILBERT, AZ 85298-6128
(480) 376-9319
Mailing address
2139 E TIFFANY CT, GILBERT, AZ 85298-6128
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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