Organization
SMILES FOR SPECIAL NEEDS
Active
Other names
Smiles for Special Needs LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SUZAN MILES (OWNER)
(480) 227-8373
Entity
Organization
Contact information
Practice address
2424 E SOUTHERN AVE, MESA, AZ 85204-5409
(480) 227-8373
Mailing address
2424 E SOUTHERN AVE, MESA, AZ 85204-5409
(480) 227-8373
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
631359
—
AZ
Enumeration date
03/16/2022
Last updated
03/16/2022
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