Smiles by Delivery, Pllc

NPI #1295083202 in Surprise, Arizona

Provider Information

NPI Number: 1295083202
Entity Type: Organization
Organization Name: Smiles by Delivery, Pllc
Primary Specialty: Dentist
Enumeration Date: Aug 22, 2012
Last Updated: Aug 24, 2012

Practice Location

Address: 15508 W BELL RD
Address 2: 101-525
City: Surprise
State: Arizona
ZIP Code: 85374-2432
Phone: (623) 584-4746

Authorized Official

Name: ELAINE CARMELLA MAMOLA, RDH
Title: RDH/OWNER
Phone: (602) 717-7757

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X
Dentist	122300000X	Primary

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