Organization
MARICOPA SMILES, LLC
Active
Other names
Smiley Dental
Organization subpart
No
Provider details
NPI number
Authorized official
TIN NGUYEN DDS (DENTIST/OWNER)
(833) 793-7773
Entity
Organization
Contact information
Practice address
20917 N JOHN WAYNE PKWY STE A105, MARICOPA, AZ 85139-2918
(833) 793-7773
(520) 442-1488
Mailing address
20917 N JOHN WAYNE PKWY STE A105, MARICOPA, AZ 85139-2918
(833) 793-7773
(520) 442-1488
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/27/2018
Last updated
10/27/2018
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