Organization
ARIZONA SMILES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL WALKER BOLLWINKEL D.D.S. (PRESIDENT)
(480) 892-5089
Entity
Organization
Contact information
Practice address
1400 N GILBERT RD, SUITE Z, GILBERT, AZ 85234-2328
(480) 892-5089
(480) 892-4236
Mailing address
1400 N GILBERT ROAD, SUITE Z, GILBERT, AZ 85234
(480) 892-5089
(480) 892-4236
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
AZ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
AZ
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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