Organization
SUPER SMILES MARICOPA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKITA KUPPANDA DDS (DDS/ OWNER)
(520) 568-3828
Entity
Organization
Contact information
Practice address
21116 N JOHN WAYNE PKWY STE B7, MARICOPA, AZ 85139-2932
(520) 568-3828
(520) 568-0443
Mailing address
21116 N JOHN WAYNE PKWY STE B7, MARICOPA, AZ 85139-2932
(520) 568-3828
(520) 568-0443
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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