Laveen Smiles Pllc

NPI #1225687825 in Laveen, Arizona

Provider Information

NPI Number
1225687825
Entity Type
Organization
Organization Name
Laveen Smiles Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Sep 6, 2019
Last Updated
Jan 29, 2021

Practice Location

Address
7205 S 51ST AVE STE 104
City
Laveen
State
Arizona
ZIP Code
85339-7399
Phone
(602) 603-5446

Authorized Official

Name
MARK TYNDAL EVANS, DDS
Title
DOCTOR
Phone
(602) 603-5446

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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