Aesthetic Smiles of Queen Creek
NPI #1013793785 in Queen Creek, Arizona
Provider Information
- NPI Number
- 1013793785
- Entity Type
- Organization
- Organization Name
- Aesthetic Smiles of Queen Creek
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 7, 2023
- Last Updated
- Sep 7, 2023
Practice Location
- Address
- 22362 E. DOMINGO RD. SUITE 102
- City
- Queen Creek
- State
- Arizona
- ZIP Code
- 85142
- Phone
- (480) 652-5797
Authorized Official
- Name
- DR. CAMERON WEAVER BLYTH, DMD
- Title
- DENTIST
- Phone
- (480) 652-5797
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Clinic/Center - Dental — Dental |
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