Organization
SCOTTSDALE PROSTHODONTICS AND FAMILY DENTISTRY
Active
Other names
Smile Design Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHREEDEVI THULASIDAS DDS,MS (OWNER)
(480) 815-5223
Entity
Organization
Contact information
Practice address
34597 N 60TH ST STE 101, SCOTTSDALE, AZ 85266-5241
(480) 488-9655
(480) 575-1130
Mailing address
34597 N 60TH ST STE 101, SCOTTSDALE, AZ 85266-5241
(480) 488-9655
(480) 575-1130
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D07677
AZ
1223G0001X
General Practice Dentistry
D07677
AZ
1223P0700X
Prosthodontics
Primary
D07677
AZ
Other
Enumeration date
10/03/2013
Last updated
02/04/2016
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