Organization
THE SMYL CO
Active
Organization
THE SMYL CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE GOLDSTEIN DDS (PRESIDENT/ORTHODONTIST)
(480) 556-0600
Entity
Organization
Contact information
Practice address
10 W ADAMS ST, PHOENIX, AZ 85003-2025
(602) 362-2444
(602) 362-3202
Mailing address
10 W ADAMS ST, PHOENIX, AZ 85003-2025
(602) 362-2444
(602) 362-3202
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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