Organization
FABULOUS SMILES ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY SCOTT (MANAGING PARTNER)
(480) 258-1876
Entity
Organization
Contact information
Practice address
3101 W INDIAN SCHOOL RD, PHOENIX, AZ 85017-4035
(602) 861-3333
(602) 682-7733
Mailing address
3101 W INDIAN SCHOOL RD, PHOENIX, AZ 85017-4035
(602) 861-3333
(602) 682-7733
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D7517
AZ
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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