Organization
SMILE DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEDAYAT HARSINI DDS (OWNER)
(623) 846-5555
Entity
Organization
Contact information
Practice address
6524 W INDIAN SCHOOL ROAD, SUITE A, PHOENIX, AZ 85033
(623) 846-5555
(623) 846-5419
Mailing address
122 SKYVIEW DRIVE, BELLEFONTE, PA 16823
(814) 355-2945
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/19/2007
Last updated
11/17/2008
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