Organization
SMILE TODAY CHANDLER, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY DALTON (CREDENTIALING SPECIALIST)
(623) 640-0267
Entity
Organization
Contact information
Practice address
975 E RIGGS RD, SUITE #8, CHANDLER, AZ 85249-4260
(480) 895-3252
(480) 895-6679
Mailing address
4425 N 24TH ST STE 100, PHOENIX, AZ 85016-5513
(623) 640-0267
(480) 696-5505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D008070
AZ
Other
Enumeration date
09/28/2015
Last updated
09/03/2019
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