MARICOPA SMILES LLC NPI 1922575018

NPI Information

MARICOPA SMILES, LLC is a dental clinic center in Maricopa, AZ. MARICOPA SMILES, LLC NPI is 1922575018. The provider is registered as an organization entity type.

The provider's business location address is:

20917 N JOHN WAYNE PKWY STE A105
MARICOPA, AZ
ZIP 85139-918
Phone: (833) 793-7773
Fax: (520) 442-1488

The provider's authorized official is Tin Nguyen .
The authorized official title is Dentist/owner and has the following contact phone number (833) 793-7773.

The enumeration date for this NPI number is 10/27/2018 and was last updated on 10/27/2018.

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:

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