Peoria Healthy Smiles LLC

NPI #1346661964 in Peoria, Arizona

Provider Information

NPI Number: 1346661964
Entity Type: Organization
Organization Name: Peoria Healthy Smiles LLC
Primary Specialty: Dentist
Enumeration Date: Dec 27, 2013
Last Updated: Dec 27, 2013

Practice Location

Address: 13660 N 94TH DR STE E3
City: Peoria
State: Arizona
ZIP Code: 85381-4209
Phone: (623) 974-4799

Authorized Official

Name: DR. GINA MICHELLE ELROD, DDS
Title: OWNER
Phone: (623) 974-4799

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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