Organization
MAI SMILE DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C MAI DDS (PRESIDENT)
(623) 932-9202
Entity
Organization
Contact information
Practice address
1453 N DYSART RD, B108, AVONDALE, AZ 85323
(623) 932-9202
(623) 932-9228
Mailing address
15772 STARBOARD ST, GARDEN GROVE, CA 92843
(714) 873-3693
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
44932
CA
122300000X
Dentist
Primary
D6050
AZ
Other
Enumeration date
10/31/2006
Last updated
08/22/2020
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