Organization
UNLIMITED SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BLANCA CASILLAS (VICE PRESIDENT)
(925) 300-3992
Entity
Organization
Contact information
Practice address
4805 WEST THOMAS, SUITE #A, PHOENIX, AZ 85031
(602) 269-5914
(602) 269-0083
Mailing address
1844 SAN MIGUEL DR STE 208, WALNUT CREEK, CA 94596-4913
(925) 300-3992
(925) 952-7376
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
12/13/2010
Last updated
10/24/2014
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