SMILES DIVINE DENTAL TMD CRANIOFACIAL PAIN CENTER NPI 1295130292

NPI Information

SMILES DIVINE DENTAL TMD CRANIOFACIAL PAIN CENTER is a general practice dentist in Glendale, AZ. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SMILES DIVINE DENTAL TMD CRANIOFACIAL PAIN CENTER NPI is 1295130292. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6003 W THUNDERBIRD RD STE 2
GLENDALE, AZ
ZIP 85306-004
Phone: (602) 283-3545
Fax: (602) 283-3545

The provider's authorized official is Neil Depante Tobias .
The authorized official title is Sole Member and has the following contact phone number (602) 283-3545.

The enumeration date for this NPI number is 11/3/2014 and was last updated on 3/30/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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