Organization
ISMILE
Active
Parent organization
ISMILE
Organization subpart
Yes
Provider details
NPI number
Legal business name
ISMILE
Authorized official
MARIA CHAVEZ (FRONT OFFICE)
(520) 826-3444
Entity
Organization
Contact information
Practice address
233 N FRONTAGE RD, PEARCE, AZ 85625
(520) 826-3444
Mailing address
PO BOX 531, PEARCE, AZ 85625-0531
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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