Modern Smiles Pllc

NPI #1164292256 in Phoenix, Arizona

Provider Information

NPI Number
1164292256
Entity Type
Organization
Organization Name
Modern Smiles Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 8, 2024
Last Updated
Jan 8, 2024

Practice Location

Address
2933 W CACTUS RD
State
Arizona
ZIP Code
85029-2346
Phone
(602) 863-9079

Authorized Official

Name
CHAD HENDRICKS
Title
CREDENTIALING
Phone
(612) 859-0444

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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