Organization
SAN TAN RANCH SMILES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY MCCRADY (OWNER)
(480) 292-3598
Entity
Organization
Contact information
Practice address
3592 S ATHERTON BLVD, SUITE 112, GILBERT, AZ 85297-7443
(480) 457-8600
Mailing address
3592 S ATHERTON BLVD, SUITE 112, GILBERT, AZ 85297-7443
(480) 457-8600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/29/2008
Last updated
10/12/2016
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