Organization
FOREVER SMILES LLC
Active
Other names
Forever Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON L CALVERT (PRESIDENT)
(480) 258-2823
Entity
Organization
Contact information
Practice address
13402 N 32ND ST, SUITE 2, PHOENIX, AZ 85032-6047
(480) 258-2823
Mailing address
13402 N 32ND ST, SUITE 2, PHOENIX, AZ 85032-6047
(480) 258-2823
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D04075
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164620597
NPI
AZ
Enumeration date
07/31/2012
Last updated
10/11/2012
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