Organization
GILBERT DENTAL PROFESSIONALS
Active
Other names
Smile Clinique
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YOUSSEF SALLOUM (OWNER)
(480) 582-4411
Entity
Organization
Contact information
Practice address
110 S VAL VISTA DR, SUITE B-7, GILBERT, AZ 85296-1373
(480) 892-0481
Mailing address
110 S VAL VISTA DR, SUITE B-7, GILBERT, AZ 85296-1373
(480) 892-0481
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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