Organization
SOLRAC SMILES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGEL CARLOS (OWNER)
(480) 330-0714
Entity
Organization
Contact information
Practice address
3014 N HAYDEN RD STE 104, SCOTTSDALE, AZ 85251-6531
(480) 747-1352
Mailing address
1902 W CORTEZ CIR, CHANDLER, AZ 85224-1294
(480) 330-0714
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/23/2017
Last updated
09/12/2017
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