Smile Phoenix Pllc

NPI #1093024341 in Phoenix, Arizona

Provider Information

NPI Number
1093024341
Entity Type
Organization
Organization Name
Smile Phoenix Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Oct 5, 2010
Last Updated
Oct 5, 2010

Practice Location

Address
2330 N 75TH AVE STE 112
State
Arizona
ZIP Code
85035-1200
Phone
(623) 849-0477

Authorized Official

Name
DR. DOUGLAS GORDON, D.D.S
Title
PRESIDENT
Phone
(623) 362-8200

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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