Organization
ARIZONA SMIILE CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL BOLLWINKEL DDS (OWNER)
(480) 892-5089
Entity
Organization
Contact information
Practice address
2540 S SAN TAN VILLAGE PKWY STE 104, GILBERT, AZ 85295-0301
(480) 892-5089
(480) 237-9681
Mailing address
2540 S SAN TAN VILLAGE PKWY STE 104, GILBERT, AZ 85295-0301
(480) 892-5089
(480) 237-9681
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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