Sunrise Smile Center LLC

NPI #1003028572 in Chandler, Arizona

Provider Information

NPI Number: 1003028572
Entity Type: Organization
Organization Name: Sunrise Smile Center LLC
Primary Specialty: Dentist
Enumeration Date: May 4, 2007
Last Updated: Nov 3, 2011

Practice Location

Address: 3029 N ALMA SCHOOL RD
Address 2: SUITE 110
City: Chandler
State: Arizona
ZIP Code: 85224-1464
Phone: (480) 993-3870

Authorized Official

Name: DR. OLGA REVILLA NOURI, DMD
Title: DENTIST
Phone: (480) 993-3870

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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