Organization
ARIZONA SMILE DESIGNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEILA MONGINI (OWNER/MANAGER)
(928) 634-8610
Entity
Organization
Contact information
Practice address
350 S WILLARD ST, COTTONWOOD, AZ 86326-4102
(928) 634-8610
(928) 634-4683
Mailing address
350 S WILLARD ST, COTTONWOOD, AZ 86326-4102
(928) 634-8610
(928) 634-4683
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6845
AZ
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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