Organization
SMILES OF AMERICA-RANCHO SOLANO PLLC
Active
Other names
Smiles of America
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY VASQUEZ MBA. (OPERATIONS DIRECTOR)
(602) 864-1119
Entity
Organization
Contact information
Practice address
2401 W GLENDALE AVE, SUITE 102, PHOENIX, AZ 85021-7677
(602) 864-1119
Mailing address
2401 W GLENDALE AVE, SUITE 102, PHOENIX, AZ 85021-7677
(602) 864-1119
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
F000374
AZ
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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