Organization
PHOENIX CHILDRENS DENTISTRY
Active
Other names
Smile Explorers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUKUL DAVE D.M.D (DENTIST)
(339) 237-0363
Entity
Organization
Contact information
Practice address
3575 W DEER VALLEY RD, STE 110, GLENDALE, AZ 85308-2002
(339) 237-0363
Mailing address
3575 W DEER VALLEY RD, STE 110, GLENDALE, AZ 85308-2002
(339) 237-0363
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D008401
AZ
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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